U.S. patent application number 13/881072 was filed with the patent office on 2013-08-15 for bladder syringe fluid delivery system.
This patent application is currently assigned to MEDRAD, INC.. The applicant listed for this patent is Kevin P. Cowan, L. Robert Crouthamel, Bernard J. Hobi, Raymond C. Hoffman, Charles A. Lang, Edward P. Liscio, Joseph C. Mator, Vincent S. Rossitto, Matthew Schrauder, Mark Trocki, Arthur E. Uber, III, Glen P. Williams, Jaroslaw Wlodarczyk. Invention is credited to Kevin P. Cowan, L. Robert Crouthamel, Bernard J. Hobi, Raymond C. Hoffman, Charles A. Lang, Edward P. Liscio, Joseph C. Mator, Vincent S. Rossitto, Matthew Schrauder, Mark Trocki, Arthur E. Uber, III, Glen P. Williams, Jaroslaw Wlodarczyk.
Application Number | 20130211248 13/881072 |
Document ID | / |
Family ID | 46024774 |
Filed Date | 2013-08-15 |
United States Patent
Application |
20130211248 |
Kind Code |
A1 |
Cowan; Kevin P. ; et
al. |
August 15, 2013 |
BLADDER SYRINGE FLUID DELIVERY SYSTEM
Abstract
A bladder syringe for a fluid delivery system includes a
cylindrical body, a cap-bladder assembly, a plunger element
disposed in the cylindrical body, and a mounting assembly to secure
the cap-bladder assembly to the cylindrical body. The cylindrical
body has a distal end and a proximal end and defines a throughbore.
The cap-bladder assembly is adapted for connection to the distal
end of the cylindrical body, and includes a cap body and a bladder.
The cap body defines an interior cavity and a distal discharge
conduit and is adapted to engage the distal end of the cylindrical
body. A disc-shaped bladder is disposed within the interior cavity
and typically includes a central membrane portion. The plunger
element is disposed in the throughbore of the cylindrical body and
is vented to enable evacuation of the space between the plunger
element and the cap-bladder assembly in the cylindrical body.
Inventors: |
Cowan; Kevin P.; (Allison
Park, PA) ; Hoffman; Raymond C.; (Gibsonia, PA)
; Lang; Charles A.; (Pittsburgh, PA) ; Trocki;
Mark; (Cheswick, PA) ; Uber, III; Arthur E.;
(Pittsburgh, PA) ; Mator; Joseph C.; (Pittsburgh,
PA) ; Liscio; Edward P.; (Murrysville, PA) ;
Hobi; Bernard J.; (Apollo, PA) ; Crouthamel; L.
Robert; (Mars, PA) ; Williams; Glen P.;
(Springdale, PA) ; Rossitto; Vincent S.; (Apollo,
PA) ; Wlodarczyk; Jaroslaw; (Lower Burrell, PA)
; Schrauder; Matthew; (Pittsburgh, PA) |
|
Applicant: |
Name |
City |
State |
Country |
Type |
Cowan; Kevin P.
Hoffman; Raymond C.
Lang; Charles A.
Trocki; Mark
Uber, III; Arthur E.
Mator; Joseph C.
Liscio; Edward P.
Hobi; Bernard J.
Crouthamel; L. Robert
Williams; Glen P.
Rossitto; Vincent S.
Wlodarczyk; Jaroslaw
Schrauder; Matthew |
Allison Park
Gibsonia
Pittsburgh
Cheswick
Pittsburgh
Pittsburgh
Murrysville
Apollo
Mars
Springdale
Apollo
Lower Burrell
Pittsburgh |
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA |
US
US
US
US
US
US
US
US
US
US
US
US
US |
|
|
Assignee: |
MEDRAD, INC.
Indianola
PA
|
Family ID: |
46024774 |
Appl. No.: |
13/881072 |
Filed: |
October 25, 2011 |
PCT Filed: |
October 25, 2011 |
PCT NO: |
PCT/US11/57701 |
371 Date: |
April 23, 2013 |
Related U.S. Patent Documents
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Application
Number |
Filing Date |
Patent Number |
|
|
61406453 |
Oct 25, 2010 |
|
|
|
Current U.S.
Class: |
600/432 |
Current CPC
Class: |
A61M 5/1452 20130101;
A61M 5/2425 20130101; A61M 5/148 20130101; A61M 5/007 20130101;
A61M 5/31511 20130101 |
Class at
Publication: |
600/432 |
International
Class: |
A61M 5/00 20060101
A61M005/00 |
Claims
1. A bladder syringe for a fluid delivery system, comprising: a
cylindrical body having a distal end and a proximal end and
defining a throughbore; a cap-bladder assembly adapted for
connection to the distal end of the cylindrical body, comprising: a
cap comprising a cap body defining an interior cavity and a distal
discharge conduit, the cap body seated on the distal end of the
cylindrical body; and a disc-shaped bladder disposed within the
interior cavity and comprising a membrane portion; and a plunger
element disposed in the throughbore of the cylindrical body.
2. A bladder syringe as claimed in claim 1, further comprising a
retainer ring to secure the bladder in the interior cavity of the
cap body.
3. A bladder syringe as claimed in claim 1 wherein the membrane
portion has extra material in a central area of the membrane
portion.
4. A bladder syringe as claimed in claim 1 wherein the membrane
portion defines a convoluted central well portion.
5. A bladder syringe as claimed in claim 1 wherein the membrane
portion is substantially planar.
6. A bladder syringe as claimed in claim 1 wherein the membrane
portion comprises a plurality of annular ribs or rings.
7. A bladder syringe as claimed in claim 1 wherein the membrane
portion comprises a plurality of radial ribs.
8. A bladder syringe as claimed in claim 1 wherein the membrane
portion has extra material in a central area of the membrane
portion and defines a convoluted central well portion.
9. A bladder syringe as claimed in claim 1 wherein the membrane
portion comprises a series of concentric angular-shaped
convolutes.
10. A bladder syringe as claimed in claim 1 wherein the membrane
portion has a thinner center section and a thicker outer section
tapering from the thinner center section.
11. A bladder syringe as claimed in claim 1 wherein the membrane
portion comprises a series of thicker wall sections near the center
of the bladder.
12. A bladder syringe as claimed in claim 1 wherein the thicker
wall sections are stepped.
13. A bladder syringe as claimed in claim 1 wherein the membrane
portion has a non-uniform cross-section.
14. A bladder syringe as claimed in claim 1 wherein the membrane
portion defines a central well portion connected to an outer rim by
a series of frangible webs.
15. A bladder syringe as claimed in claim 1 wherein the membrane
portion is comprised of two or more materials.
16. A bladder syringe as claimed in claim 1 wherein the membrane
portion has over-molded ribs on the bottom side thereof.
17. A bladder syringe as claimed in claim 1 wherein the plunger
element comprises a distal portion facing the cap-bladder assembly
and a proximal portion adapted for connection with a piston element
of a power fluid injector.
18. A bladder syringe as claimed in claim 17 wherein the plunger
element comprises a vent path allowing gas to pass through the
plunger element to vent the space in the cylindrical body between
the cap-bladder assembly and the plunger element, and wherein the
plunger element has a one-way check valve in the vent path to allow
gas to pass through the plunger element.
19. A bladder syringe as claimed in claim 17 wherein the plunger
element comprises a seal ring providing a substantially fluid tight
seal between the plunger element and the cylindrical body.
20. A bladder syringe as claimed in claim 1 wherein the plunger
element comprises one of an optical, ultrasonic, or mechanical
sensor to detect the presence of the cap-bladder assembly on the
distal end of the cylindrical body.
21. A bladder syringe as claimed in claim 1 wherein the distal
portion of the plunger element and the membrane portion of the
bladder are shaped to interact to maintain the bladder material
aligned in the cylindrical body during expansion of the
bladder.
22. A bladder syringe as claimed in claim 21 wherein the membrane
portion defines a convoluted central well portion, and wherein the
distal portion of the plunger element defines a distal circular
recess to interact with the convoluted central well portion.
23. A bladder syringe as claimed in claim 21 wherein membrane
portion defines a series or plurality of concentric stepped or
ridged portions adapted to cooperate with corresponding concentric
stepped or ridged portions on the surface of the distal portion of
the plunger element.
24. A bladder syringe as claimed in claim 1 wherein the plunger
element comprises a vent path allowing gas to pass through the
plunger element to vent the space in the cylindrical body between
the cap-bladder assembly and the plunger element, and wherein an
inlet to the vent path is located at a circumferential outer
surface of the plunger element.
25. A fluid delivery system, comprising: a power fluid injector
comprising an injector housing and a reciprocally operable piston
element; and a bladder syringe, comprising: a cylindrical body
having a distal end and a proximal end and defining a throughbore;
a cap-bladder assembly adapted for connection to the distal end of
the cylindrical body, comprising: a cap comprising a cap body
defining an interior cavity and a distal discharge conduit, the cap
body seated on the distal end of the cylindrical body; and a
disc-shaped bladder disposed within the interior cavity and
comprising a membrane portion; and a plunger element disposed in
the throughbore of the cylindrical body and comprising a distal
portion facing the cap-bladder assembly and a proximal portion
adapted for connection with the piston element of the power fluid
injector.
26. A fluid delivery system as claimed in claim 25, further
comprising a retainer ring to secure the bladder in the interior
cavity of the cap body.
27. A fluid delivery system as claimed in claim 25 wherein the
membrane portion has extra material in a central area of the
membrane portion.
28. A fluid delivery system as claimed in claim 25 wherein the
membrane portion defines a convoluted central well portion.
29. A fluid delivery system as claimed in claim 25 wherein the
membrane portion is substantially planar.
30. A fluid delivery system as claimed in claim 25 wherein the
membrane portion comprises a plurality of annular ribs or
rings.
31. A fluid delivery system as claimed in claim 25 wherein the
membrane portion comprises a series of concentric angular-shaped
convolutes.
32. A fluid delivery system as claimed in claim 25 wherein the
membrane portion has a thinner center section and a thicker outer
section tapering from the thinner center section.
33. A fluid delivery system as claimed in claim 25 wherein the
membrane portion comprises a series of thicker wall sections near
the center of the bladder.
34. A fluid delivery system as claimed in claim 33 wherein the
thicker wall sections are stepped.
35. A fluid delivery system as claimed in claim 25 wherein the
membrane portion has a non-uniform cross-section.
36. A fluid delivery system as claimed in claim 25 wherein the
membrane portion defines a central well portion connected to an
outer rim by a series of frangible webs.
37. A fluid delivery system as claimed in claim 25 wherein the
membrane portion is comprised of two or more materials.
38. A fluid delivery system as claimed in claim 25 wherein the
membrane portion has over-molded ribs on the bottom side
thereof.
39. A fluid delivery system as claimed in claim 25 wherein the
plunger element comprises a vent path allowing gas to pass through
the plunger element to vent the space in the cylindrical body
between the cap-bladder assembly and the plunger element, and
wherein the plunger element has a one-way check valve in the vent
path to allow gas to pass through the plunger element.
40. A fluid delivery system as claimed in claim 25 wherein the
plunger element comprises a seal ring providing a substantially
fluid tight seal between the plunger element and the cylindrical
body.
41. A fluid delivery system as claimed in claim 25 wherein the
plunger element comprises one of an optical, ultrasonic, or
mechanical sensor to detect the presence of the cap-bladder
assembly on the distal end of the cylindrical body.
42. A fluid delivery system as claimed in claim 25 wherein the
distal portion of the plunger element and the membrane portion of
the bladder are shaped to interact to maintain the bladder material
aligned in the cylindrical body during expansion of the
bladder.
43. A fluid delivery system as claimed in claim 42 wherein the
membrane portion defines a convoluted central well portion, and
wherein the distal portion of the plunger element defines a distal
circular recess to interact with the convoluted central well
portion.
44. A fluid delivery system as claimed in claim 42 wherein membrane
portion defines a series or plurality of concentric stepped or
ridged portions adapted to cooperate with corresponding concentric
stepped or ridged portions on the surface of the distal portion of
the plunger element.
45. A fluid delivery system as claimed in claim 25 wherein the
plunger element comprises a vent path allowing gas to pass through
the plunger element to vent the space in the cylindrical body
between the cap-bladder assembly and the plunger element, and
wherein an inlet to the vent path is located at a circumferential
outer surface of the plunger element.
46. A bladder syringe for a fluid delivery system, comprising: a
cylindrical body having a distal end and a proximal end and
defining a throughbore; a cap-bladder assembly adapted for
connection to the distal end of the cylindrical body, comprising: a
cap comprising a cap body defining an interior cavity and a distal
discharge conduit, the cap body seated on the distal end of the
cylindrical body; and a disc-shaped bladder disposed within the
interior cavity and comprising a membrane portion; a plunger
element disposed in the throughbore of the cylindrical body; and a
connecting assembly comprising an inner sleeve fixed to the distal
end of the cylindrical body and comprising a plurality of flex legs
and an outer sleeve coaxially disposed about the inner sleeve and
rotationally engaged with the inner sleeve, such that rotation of
the outer sleeve in one direction causes the flex legs to engage
the cap body and secure the cap-bladder assembly on the distal end
of the cylindrical body and rotation in an opposite direction
releases the engagement.
47. A bladder syringe as claimed in claim 46 wherein a distal end
of the outer sleeve is internally curved to engage the flex
legs.
48. A bladder syringe as claimed in claim 47 wherein the flex legs
terminate in a curved distal end to engage the internally curved
distal end of the outer sleeve.
49. A bladder syringe as claimed in claim 46 wherein the outer
sleeve is in threaded engagement with the inner sleeve.
50. A bladder syringe as claimed in claim 46 wherein the flex legs
terminate in a curved distal end that engages a circumferential rim
on the cap body when the flex legs engage the cap body.
Description
BACKGROUND OF THE INVENTION
[0001] 1. Field of the Invention
[0002] The present invention is related to the medical field and,
more particularly, disposable syringes used in the medical field in
which all or part of the syringe may be disposed of after a single
use.
[0003] 2. Description of Related Art
[0004] It is well known that syringes used in the medical field are
typically disposable and are discarded after one use. These
syringes usually comprise a barrel and a plunger mounted for
reciprocal movement in the barrel, both parts usually being made of
plastic material. Although disposable syringes are typically made
by mass production methods such as injection molding, such
disposable syringes are relatively expensive due to the materials
and precision involved in their manufacture.
[0005] In order to reduce manufacturing costs, it has been proposed
to combine a reusable syringe barrel and plunger with a replaceable
container positioned either at the discharge end of the syringe
barrel or within the syringe barrel. The container is typically
flexible and acted upon by the action of the plunger to fill and
dispense fluid from the container. For example, the container may
be introverted or collapsed upon itself by action of the plunger to
eject or administer a medicinal fluid contained in the container.
An example of a syringe of this type is disclosed in U.S. Pat. Nos.
4,236,516 and 4,325,369 to Nilson. In the syringe disclosed in the
foregoing patents, the container forms the end wall of the syringe
barrel and comprises a substantially rigid first wall portion at
the exterior side of the end wall and a flexible second wall
portion at the interior side of the end wall. The container is
introvertible upon the inside surface of the first wall portion. A
nozzle is provided on the first wall portion for attachment of a
hypodermic needle. In the Nilson syringe, as described in the
foregoing patents, the container is formed as a spherical bulb
having substantially the same diameter as the cylinder space formed
by the syringe barrel. When an empty container is attached to the
syringe barrel, the flexible second wall portion is introverted
upon the inside surface of the first wall portion. To fill the
container, the piston is withdrawn and the flexible wall portion is
carried along by the piston due to sub-atmospheric pressure created
between the piston and the flexible wall portion, while liquid such
as blood or a medicinal fluid is pulled into the container.
However, a substantial sub-atmospheric pressure (vacuum) is created
by the piston during the latter part of the withdrawal stroke
thereof, which requires considerable force to be applied to the
piston at the end of the withdrawal stroke necessary for filling
the container. Under certain circumstances, the container may not
be completely filled.
[0006] U.S. Pat. No. 4,312,344 to Nilson seeks to overcome the
foregoing deficiencies of the earlier Nilson syringes by providing
a rigid spherical container that attaches to the end of the syringe
barrel and has a collapsible spherical bulb attached thereto. This
improved Nilson syringe further includes a plunger guided for axial
movement in the syringe barrel, and a resilient plunger head
connected to the plunger. The plunger has a diameter less than the
diameter of the container but can be deformed to engage the
spherical bulb when introverted upon the inside surface of the
spherical container over substantially the entire surface thereof.
The rigid spherical container attached to the end of the syringe
barrel and the resilient plunger head on the plunger address some
of the operational difficulties with the earlier Nilson
syringes.
[0007] Other container-type syringes are known in the medical field
which incorporate a bulb portion or bladder element such as may be
found in U.S. Pat. Nos. 798,093 to Dean; 3,527,215 to De Witt; and
6,450,993 to Lin. The Dean patent discloses a syringe having a
collapsible bulb portion secured to a glass container via a clamp.
The bulb portion is in the form of a diaphragm/bladder that is
secured to a cap portion. The De Witt patent discloses a bladder
held within a cavity in a needle hub by a retaining ring. The Lin
patent discloses a half-disposable syringe barrel including a
reusable barrel syringe and a disposable cap member.
[0008] Moreover, syringes are known in the medical field that
incorporate a collapsible container or bag that is breach-loaded
into a syringe barrel and then acted upon by a syringe plunger
inserted into the syringe barrel to expel the contents of the
container. U.S. Pat. Nos. 2,690,179 to Fox and 3,166,070 to Everett
disclose such container/bag-type syringes. The Everett patent
discloses a dispensing syringe that includes a syringe casing,
collapsible bag, and a plunger with a venting check valve in a
passage in the plunger. The Fox patent discloses a collapsible
container housed within a syringe housing and actuated by a
plunger. The plunger includes an air passage in which a check valve
is present to vent air from a forward side of the plunger head. The
container is a sealed bag situated within a head portion of the
housing and carries a needle assembly. Such container/bag syringes
are also used in the blood collection area such as disclosed by
U.S. Pat. No. 3,785,367 to Fortin et al. The Fortin patent
discloses a rubber cup-shaped member that fits inside a rigid
housing attached to a syringe barrel. The rigid housing includes a
hollow tapered adapter supporting an arterial needle for collecting
an arterial blood sample from a patient which enters a container
provided within the syringe barrel under arterial blood pressure.
The syringe barrel includes a reciprocal syringe plunger
therein.
SUMMARY OF THE INVENTION
[0009] As described in detail herein, one embodiment of a bladder
syringe for a fluid delivery system comprises a cylindrical body,
cap-bladder assembly, and a plunger element disposed in the
cylindrical body. The cylindrical body has a distal end and a
proximal end and defines a throughbore. The cylindrical body has an
exterior mounting collar at the distal end of the cylindrical body.
The cap-bladder assembly is adapted for connection to the distal
end of the cylindrical body. The cap-bladder assembly comprises a
cap, a bladder, and a retainer ring to secure the bladder in the
cap. The cap body defines an interior cavity, a distal discharge
conduit, and a proximal portion to receive the distal end of the
cylindrical body. The proximal portion may have an end adapted to
engage the mounting collar on the cylindrical body. The bladder is
typically disc-shaped and disposed within the interior cavity and
comprises an outer circumferential rib and a central membrane
portion. The plunger element is disposed in the throughbore of the
cylindrical body.
[0010] The central membrane portion of the bladder may have a
non-uniform cross-section. In one variation, the central membrane
portion may have a convoluted central well portion, a plurality of
annular ribs, and/or a plurality of radial ribs, or any combination
of the foregoing.
[0011] The plunger element may comprise a distal portion facing the
cap-bladder assembly and a proximal portion adapted for connection
with a piston element of a power fluid injector. The plunger
element may further comprise a fluid path allowing gas to pass
through the plunger element, and the plunger element may have a
one-way check valve in the fluid path to allow gas to pass through
the plunger element and exit at the proximal portion of the plunger
element. The plunger element may further comprise a seal ring about
the proximal portion providing a substantially fluid tight seal
between the plunger element and cylindrical body and an optional
guide ring about the distal portion. An inlet to the fluid path may
be disposed between the guide ring and the seal ring.
[0012] In another embodiment, the bladder syringe for a fluid
delivery system includes a cylindrical body, cap-bladder assembly,
a plunger element disposed in the cylindrical body, and a mounting
ring to secure the cap-bladder assembly to the cylindrical body.
The cylindrical body has a distal end and a proximal end and
defines a throughbore. The cap-bladder assembly is adapted for
connection to the distal end of the cylindrical body and includes a
cap body, a bladder, and a retainer ring. The cap body defines an
interior cavity, a distal discharge conduit, and a proximal portion
to receive the distal end of the cylindrical body. A bladder is
disposed within the interior cavity and is typically disc-shaped
and includes an outer circumferential rib and a central membrane
portion. The retainer ring is used to secure the bladder in the
interior cavity of the cap body. The plunger element is disposed in
the throughbore of the cylindrical body, and the mounting ring
secures the cap-bladder assembly to the distal end of the
cylindrical body.
[0013] In another embodiment, the central membrane portion of the
bladder may have a non-uniform cross-section. In one variation, the
central membrane portion may have a convoluted central well
portion, a plurality of annular ribs, and/or a plurality of radial
ribs, or any combination of the foregoing.
[0014] In another embodiment, the plunger element may comprise a
distal portion facing the cap-bladder assembly and a proximal
portion adapted for connection with a piston element of a power
fluid injector. The plunger element may further comprise a fluid
path allowing gas to pass through the plunger element, and the
plunger element may have a one-way check valve in the fluid path to
allow gas to pass through the plunger element and exit at the
proximal portion of the plunger element. The plunger element may
further comprise a seal ring about the proximal portion providing a
substantially fluid tight seal between the plunger element and
cylindrical body and an optional guide ring about the distal
portion. An inlet to the fluid path may be disposed between the
guide ring and the seal ring.
[0015] Further, in another embodiment, the proximal portion of the
cap body may comprise an exterior structure for engaging a
corresponding engaging structure formed interiorly within the
mounting ring to secure the cap-bladder assembly to the distal end
of the cylindrical body. The exterior structure on the proximal
portion of the cap body and the corresponding interior engaging
structure within the mounting ring may comprise interengaging
threads.
[0016] In another embodiment, a cap-bladder assembly is provided
for connection to a cylindrical body. The cap-bladder assembly
comprises a cap, a bladder, and a retainer ring. The cap includes a
cap body defining an interior cavity, a distal discharge conduit,
and a proximal portion to receive an end of the cylindrical body.
The bladder is typically disc-shaped and disposed within the
interior cavity and comprises an outer circumferential rib and a
central membrane portion. The retainer ring is used to secure the
bladder in the interior cavity of the cap body. The proximal
portion is generally cylindrical-shaped and a conical portion
connects the proximal portion to the discharge conduit. The
proximal portion may have an exterior mounting. The central
membrane portion of the bladder may have a non-uniform
cross-section. In one variation, the central membrane portion may
have a convoluted central well portion, a plurality of annular
ribs, and/or a plurality of radial ribs, or any combination of the
foregoing.
[0017] In another embodiment, a bladder syringe and a fluid
delivery system incorporating the bladder syringe are provided. The
power fluid injector comprises an injector housing and a
reciprocally operable piston element. The bladder syringe comprises
a cylindrical body having a distal end and a proximal end and
defines a throughbore. A cap-bladder assembly is adapted for
connection to the distal end of the cylindrical body and comprises
a cap comprising a cap body defining an interior cavity and having
a distal discharge conduit. The cap body is seated on the distal
end of the cylindrical body. A disc-shaped bladder is disposed
within the interior cavity and comprises a membrane portion. A
plunger element is disposed in the throughbore of the cylindrical
body and comprises a distal portion facing the cap-bladder assembly
and a proximal portion adapted for connection with the piston
element of the power fluid injector.
[0018] A retainer ring may be used to secure the bladder in the
interior cavity of the cap body. The membrane portion may have
extra material in a central area of the membrane portion. The
membrane portion may define a convoluted central well portion. The
membrane portion may be substantially planar. The membrane portion
may comprise a plurality of annular ribs or rings. The membrane
portion may comprise a plurality of radial ribs. The membrane
portion may have extra material in a central area of the membrane
portion and define a convoluted central well portion. The membrane
portion may comprise a series of concentric angular-shaped
convolutes. The membrane portion may have a thinner center section
and a thicker outer section tapering from the thinner center
section. The membrane portion may comprise a series of thicker wall
sections near the center of the bladder. The thicker wall sections
may be stepped. The membrane portion may have a non-uniform
cross-section. The membrane portion may define a central well
portion connected to an outer rim by a series of frangible webs.
The membrane portion may be comprised of two or more materials. The
membrane portion may have over-molded ribs on the bottom side
thereof. The plunger element may comprise a distal portion facing
the cap-bladder assembly and a proximal portion adapted for
connection with a piston element of a power fluid injector. The
plunger element may comprise a vent path allowing gas to pass
through the plunger element to vent the space in the cylindrical
body between the cap-bladder assembly and the plunger element, and
the plunger element may have a one-way check valve in the vent path
to allow gas to pass through the plunger element. An inlet to the
vent path is desirably located at a circumferential outer surface
of the plunger element.
[0019] The plunger element may comprise a seal ring providing a
substantially fluid tight seal between the plunger element and the
cylindrical body.
[0020] The plunger element may comprise one of an optical,
ultrasonic, or mechanical sensor to detect the presence of the
cap-bladder assembly on the distal end of the cylindrical body.
[0021] The distal portion of the plunger element and the membrane
portion of the bladder may be shaped to interact to maintain the
bladder material aligned in the cylindrical body during expansion
of the bladder. The membrane portion may define a convoluted
central well portion, and the distal portion of the plunger element
may define a distal circular recess to interact with the convoluted
central well portion. The membrane portion may define a series or
plurality of concentric stepped or ridged portions adapted to
cooperate with corresponding concentric stepped or ridged portions
on the surface of the distal portion of the plunger element. An
optical, ultrasonic, or mechanical sensor may be used to detect the
presence of the cap-bladder assembly on the distal end of the
cylindrical body.
[0022] In another embodiment, a bladder syringe is provided for a
fluid delivery system and comprises a cylindrical body having a
distal end and a proximal end and defining a throughbore, and a
cap-bladder assembly adapted for connection to the distal end of
the cylindrical body. The cap-bladder assembly comprises a cap
comprising a cap body defining an interior cavity and a distal
discharge conduit. The cap body is seated on the distal end of the
cylindrical body. A disc-shaped bladder is disposed within the
interior cavity and comprises a membrane portion. A plunger element
is disposed in the throughbore of the cylindrical body. A
connecting assembly is used to secure the cap-bladder assembly to
the cylindrical body. The connecting assembly may comprise an inner
sleeve fixed to the distal end of the cylindrical body and
comprises a plurality of flex legs. The connecting assembly may
further comprise an outer sleeve coaxially disposed about the inner
sleeve and rotationally engaged with the inner sleeve such that
rotation of the outer sleeve in one direction causes the flex legs
to engage the cap body and secure the cap-bladder assembly on the
distal end of the cylindrical body and rotation in an opposite
direction releases the engagement. A distal end of the outer sleeve
may be internally curved to engage the flex legs. The flex legs may
terminate in a curved distal end to engage the internally curved
distal end of the outer sleeve. The outer sleeve may be in threaded
engagement with the inner sleeve. The flex legs may terminate in a
curved distal end that engages a circumferential rim on the cap
body when the flex legs engage the cap body.
[0023] Further details and advantages will be understood upon
reading the following detailed description in conjunction with the
accompanying drawings, wherein like parts are designated with like
reference numerals throughout the several views.
BRIEF DESCRIPTION OF THE DRAWINGS
[0024] FIG. 1A is a perspective view of a bladder syringe for a
fluid delivery system according to one embodiment.
[0025] FIG. 1B is a cross-sectional view of the bladder syringe
shown in FIG. 1A.
[0026] FIG. 2 is a detail view of Detail 2 in FIG. 1B
[0027] FIG. 3 is an exploded view showing a cylindrical body, a
plunger element, and a mounting ring of the bladder syringe shown
in FIGS. 1A-1B.
[0028] FIG. 4 is an exploded and cross-sectional view of the
various components shown in FIG. 3.
[0029] FIG. 5 is an exploded view of a cap-bladder assembly of the
bladder syringe shown in FIGS. 1A-1B.
[0030] FIG. 6 is an exploded and cross-sectional view of the
cap-bladder assembly shown in FIG. 5.
[0031] FIG. 7 is a cross-sectional view showing a fluid delivery
system utilizing the bladder syringe shown in FIGS. 1A-1B.
[0032] FIG. 8 is a partial cross-sectional view of the bladder
syringe of FIGS. 1A-1B showing the interaction between the bladder
and the plunger element of the bladder syringe during forward
movement of the plunger element.
[0033] FIG. 9 is a partial cross-sectional view of the bladder
syringe of FIGS. 1A-1B showing the interaction between the bladder
and the plunger element of the bladder syringe during rearward
movement of the plunger element.
[0034] FIG. 10A is a partial cross-sectional view of the bladder
syringe of FIGS. 1A-1B showing another embodiment of the plunger
element and the interaction between the bladder and the plunger
element during movement of the plunger element.
[0035] FIG. 10B is a detail view of Detail 10B in FIG. 10A.
[0036] FIGS. 11A-11E are cross-sectional views of various sealing
elements for the various embodiments of the plunger element for the
bladder syringe of FIGS. 1A-1B.
[0037] FIGS. 12A-12B are respective perspective and cross-sectional
views of a first embodiment of the bladder for the cap-bladder
assembly for the bladder syringe of FIGS. 1A-1B.
[0038] FIGS. 12C-12D are respective perspective and cross-sectional
views of a modification of the first bladder embodiment of FIGS.
12A-12B.
[0039] FIGS. 13A-13B are respective perspective and cross-sectional
views of the first embodiment of the bladder shown in FIGS. 12A-12B
and further showing a retainer ring for holding the bladder in the
cap-bladder assembly for the bladder syringe of FIGS. 1A-1B.
[0040] FIGS. 14A-14B are respective perspective and cross-sectional
views of a second embodiment of the bladder for the cap-bladder
assembly for the bladder syringe of FIGS. 1A-1B.
[0041] FIGS. 15A-15B are respective perspective and cross-sectional
views of a third embodiment of the bladder for the cap-bladder
assembly for the bladder syringe of FIGS. 1A-1B.
[0042] FIGS. 16A-16B are respective perspective and cross-sectional
views of a fourth embodiment of the bladder for the cap-bladder
assembly for the bladder syringe of FIGS. 1A-1B.
[0043] FIGS. 17A-17B are respective perspective and cross-sectional
views of a fifth embodiment of the bladder for the cap-bladder
assembly for the bladder syringe of FIGS. 1A-1B.
[0044] FIGS. 18A-18B are respective perspective and cross-sectional
views of a sixth embodiment of the bladder for the cap-bladder
assembly for the bladder syringe of FIGS. 1A-1B.
[0045] FIGS. 19A-19B are respective perspective and cross-sectional
views of a seventh embodiment of the bladder for the cap-bladder
assembly for the bladder syringe of FIGS. 1A-1B.
[0046] FIGS. 20A-20B are respective perspective and cross-sectional
views of a eighth embodiment of the bladder for the cap-bladder
assembly for the bladder syringe of FIGS. 1A-1B.
[0047] FIGS. 21A-21B are respective perspective and cross-sectional
views of a ninth embodiment of the bladder for the cap-bladder
assembly for the bladder syringe of FIGS. 1A-1B.
[0048] FIGS. 22A-22B are respective perspective and cross-sectional
views of a tenth embodiment of the bladder for the cap-bladder
assembly for the bladder syringe of FIGS. 1A-1B.
[0049] FIGS. 23A-23B are respective perspective and cross-sectional
views of an eleventh embodiment of the bladder for the cap-bladder
assembly for the bladder syringe of FIGS. 1A-1B.
[0050] FIGS. 24A-24B are respective perspective and cross-sectional
views of a twelfth embodiment of the bladder for the cap-bladder
assembly for the bladder syringe of FIGS. 1A-1B.
[0051] FIGS. 25A-25B are respective perspective and cross-sectional
views of a thirteenth embodiment of the bladder for the cap-bladder
assembly for the bladder syringe of FIGS. 1A-1B.
[0052] FIGS. 26A-26B are respective perspective and cross-sectional
views of a fourteenth embodiment of the bladder for the cap-bladder
assembly for the bladder syringe of FIGS. 1A-1B.
[0053] FIGS. 27A-27B are respective perspective and cross-sectional
views of a fifteenth embodiment of the bladder for the cap-bladder
assembly for the bladder syringe of FIGS. 1A-1B.
[0054] FIGS. 28A-28B are respective perspective and cross-sectional
views of a sixteenth embodiment of the bladder for the cap-bladder
assembly for the bladder syringe of FIGS. 1A-1B.
[0055] FIGS. 29A-29B are respective perspective and cross-sectional
views of a seventeenth embodiment of the bladder for the
cap-bladder assembly for the bladder syringe of FIGS. 1A-1B.
[0056] FIGS. 30A-30B are respective perspective and cross-sectional
views of an eighteenth embodiment of the bladder for the
cap-bladder assembly for the bladder syringe of FIGS. 1A-1B.
[0057] FIGS. 31A-31B are respective perspective and cross-sectional
views of a nineteenth embodiment of the bladder for the cap-bladder
assembly for the bladder syringe of FIGS. 1A-1B.
[0058] FIGS. 32A-32B are respective perspective and cross-sectional
views of a twentieth embodiment of the bladder for the cap-bladder
assembly for the bladder syringe of FIGS. 1A-1B.
[0059] FIGS. 33A-33B are respective perspective and cross-sectional
views of a twenty-first embodiment of the bladder for the
cap-bladder assembly for the bladder syringe of FIGS. 1A-1B.
[0060] FIGS. 34A-34B are respective perspective and cross-sectional
views of a twenty-second embodiment of the bladder for the
cap-bladder assembly for the bladder syringe of FIGS. 1A-1B.
[0061] FIGS. 35A-35B are respective perspective and cross-sectional
views of a bladder and plunger element having cooperating surface
texturing for use in the bladder syringe of FIGS. 1A-1B.
[0062] FIG. 36 is a perspective view showing the cylindrical body
of the bladder syringe with interior surface texturing to reduce
sliding friction between the bladder and the interior wall of the
cylindrical body.
[0063] FIG. 37 is a schematic cross-sectional view of the bladder
syringe of FIGS. 1A-1B in which the bladder for the cap-bladder
assembly is in the form of a rolling diaphragm.
[0064] FIG. 38 is a schematic cross-sectional view of the bladder
syringe of FIGS. 1A-1B in which the bladder for the cap-bladder
assembly is in the form of a bellows.
[0065] FIGS. 39A-39B are a perspective view of a bladder and a
schematic cross-sectional view, respectively, of the bladder
syringe of FIGS. 1A-1B in which the bladder for the cap-bladder
assembly is in the form of a cup-shaped distal portion having a
depending rolled-up portion.
[0066] FIG. 40 is a schematic cross-sectional view of the bladder
syringe of FIGS. 1A-1B in which the bladder is mechanically
operated by the plunger element.
[0067] FIG. 41 is a schematic cross-sectional view of the bladder
syringe of FIGS. 1A-1B in which the bladder has a tapered profile
to match the interior of a cap of the cap-bladder assembly.
[0068] FIGS. 42A-42B are respective perspective and schematic
cross-sectional views of another embodiment of the bladder syringe
in which the bladder is in the form of a flexible body that fits
within the inner diameter of the cylindrical body of the bladder
syringe, and the cap of the cap-bladder assembly is a solid planar
end cap.
[0069] FIGS. 43A-43C are schematic cross-sectional views of another
embodiment of the bladder syringe that incorporates a dual vacuum
plunger element.
[0070] FIGS. 44A-44B are respectively a schematic cross-sectional
view and a cross-sectional view of another embodiment of the
bladder syringe and a bladder therefor, each set at an angle to
allow for more surface area of contact between the bladder and the
plunger element.
[0071] FIGS. 45A-45B are respective schematic cross-sectional views
of another embodiment of the bladder syringe in which the
cap-bladder assembly is breach-loaded into the cylindrical body of
the bladder syringe.
[0072] FIGS. 46A-46C are respective schematic cross-sectional views
of another embodiment of the bladder syringe in which a dual
diaphragm arrangement in the cap-bladder assembly is driven by a
fluid displacement actuator.
[0073] FIGS. 47A-47F are respective schematic views showing
variations in forming the cap-bladder assembly according to
co-injection molding and/or over-molding techniques.
[0074] FIG. 48 is a schematic cross-sectional view of another
embodiment of the bladder syringe that incorporates a sensor in the
plunger element.
[0075] FIG. 49 is a schematic cross-sectional view of another
embodiment of the bladder syringe that incorporates a sensor and a
vacuum tube in the plunger element.
[0076] FIG. 50 is a schematic cross-sectional view of another
embodiment of the bladder syringe that incorporates a pressure
sensor in the plunger element.
[0077] FIG. 51 is a schematic cross-sectional view of another
embodiment of the bladder syringe that incorporates a
vacuum-activated sensor in the plunger element.
[0078] FIG. 52 is a partial cross-sectional view of the bladder
syringe of FIGS. 1A-1B having a contact impedance measurement
system for detecting presence of the cap-bladder assembly and/or
leaking of a bladder in the cap-bladder assembly.
[0079] FIG. 53 is a schematic cross-sectional view of another
embodiment of the bladder syringe having a sensing arrangement to
mechanically sense the presence of the cap-bladder assembly on the
cylindrical body of the bladder syringe.
[0080] FIG. 54 is a partial cross-sectional view showing the
bladder syringe of FIGS. 1A-1B with an additional light pipe
assembly for detecting the presence of a cap-bladder assembly on
the cylindrical body of the bladder syringe.
[0081] FIG. 55 is a schematic cross-sectional view of the bladder
syringe of FIG. 54 with an alternative embodiment of the light pipe
assembly.
[0082] FIG. 56 is schematic cross-sectional view of another
embodiment of the bladder syringe having an optical sensor array
provided to read grooves in the cap body of the cap-bladder
assembly on the cylindrical body of the bladder syringe.
[0083] FIGS. 57-58 are respective schematic cross-sectional views
of another embodiment of the bladder syringe in which an external
sensor device is used to detect the presence and position of the
bladder and/or to determine the volume of fluid present in the
bladder, or other properties associated with the bladder.
[0084] FIGS. 59A-59B are respective schematic cross-sectional views
of another embodiment of the bladder syringe in which the bladder
is provided with floating fibers.
[0085] FIGS. 60A-60B are respective schematic cross-sectional views
of another embodiment of the bladder syringe in which a floating
actuator is provided inside the cap-bladder assembly and which only
allows fluid injection if fluid is present in the bladder.
[0086] FIG. 61 is a schematic cross-sectional view of the bladder
syringe of FIGS. 1A-1B showing the bladder syringe with a fluid
transfer set and further having a flow regulation and monitoring
capability.
[0087] FIGS. 62A-62B are respective schematic cross-sectional views
of another embodiment of the bladder syringe in which the interior
wall of the cylindrical body of the bladder syringe and/or the
interior of the cap in the cap-bladder assembly has surface
texturing that becomes visually clear when exposed to liquid.
[0088] FIGS. 63A-63B are respective schematic cross-sectional views
of another embodiment of the bladder syringe in which a sensor
array is provided in the interior wall of the cylindrical body of
the bladder syringe.
[0089] FIG. 64 is a cross-sectional view of the bladder syringe of
FIGS. 1A-1B having two (2) sensor elements in the cap of the
cap-bladder assembly.
[0090] FIGS. 65A-65C are a perspective and two cross-sectional
views, respectively, of another embodiment of the bladder syringe
in which the cap-bladder assembly has an optical detection assembly
that detects light reflectance changes in the presence of fluid in
the cap of the cap-bladder assembly.
[0091] FIG. 66 is a schematic cross-sectional view of another
embodiment of the bladder syringe in which the plunger element has
a hollow cavity or well.
[0092] FIG. 67 is a schematic cross-sectional view of another
embodiment of the bladder syringe in which a flapper or duckbill
valve is incorporated into the cap of the cap-bladder assembly.
[0093] FIG. 68 is a schematic cross-sectional view of another
embodiment of the bladder syringe in which the bladder may comprise
a second safety liner.
[0094] FIGS. 69A-69B are respective schematic cross-sectional views
of another embodiment of the bladder syringe in which the bladder
covers a rear or proximal end of the cylindrical body of the
bladder syringe.
[0095] FIGS. 70A-70B are respective schematic cross-sectional views
of two (2) embodiments of the cap-bladder assembly having different
high-crack pressure bi-directional check valves disposed to control
fluid into and from a discharge conduit in the cap of the
cap-bladder assembly.
[0096] FIGS. 71A-71C are, respectively, a perspective view, a
schematic cross-sectional view, and a detail view of detail 71C in
FIG. 71B of another embodiment of the bladder syringe that
incorporates an alternative arrangement for securing the
cap-bladder assembly to the cylindrical body.
[0097] FIGS. 72A-72B are two perspective views of a fluid injector
for operating the bladder syringe and show another arrangement for
securing the cap-bladder assembly to the cylindrical body of the
bladder syringe.
[0098] FIG. 73A is an exploded view of another embodiment of the
bladder syringe incorporating another arrangement for securing the
cap-bladder assembly to the cylindrical body of the bladder
syringe.
[0099] FIGS. 73B-73C are exploded views showing progressive states
of assembly for the bladder syringe of FIG. 73A.
[0100] FIGS. 73D-73E are cross-sectional views of the embodiment of
the bladder syringe of FIGS. 73A-73C showing, respectively,
unlocked and locked states for the cap-bladder assembly on the
cylindrical body of the bladder syringe.
[0101] FIG. 74A is an exploded perspective view of an adapter
assembly for connecting the plunger element of the bladder syringe
to a conventional or known plunger.
[0102] FIG. 74B is a schematic cross-sectional view of an
embodiment of the bladder syringe incorporating the adapter
assembly of FIG. 74A.
[0103] FIG. 75 is a cross-sectional view of the cap-bladder
assembly prepackaged with two removable shipping caps.
[0104] FIG. 76 is a cross-sectional view of a cup-shaped packaging
container for the cap-bladder assembly of the bladder syringe.
[0105] FIG. 77 is a perspective view of a packaging container with
a multi-well body for the cap-bladder assembly of the bladder
syringe.
[0106] FIG. 78 is a perspective view of a packaging container with
a single-well body for receiving several cap-bladder assemblies in
an end-to-end relationship, wherein the discharge conduits on the
respective cap-bladder assemblies.
[0107] FIG. 79 is a perspective view of a packaging container with
a single-well body for receiving several cap-bladder assemblies in
an end-to-end relationship, wherein the open ends of the caps of
the cap-bladder assemblies face one another.
[0108] FIG. 80 is a perspective view of a plurality of cap-bladder
assemblies packaged on a long bandolier protective strip.
[0109] FIGS. 81A-81B are a perspective view and a cross-sectional
view, respectively, of a packaging container in which the cap of
the cap-bladder assembly forms an integral part of the packaging
container.
DESCRIPTION OF THE PREFERRED EMBODIMENTS
[0110] For purposes of the description hereinafter, spatial
orientation terms, as used, shall relate to the referenced
embodiment as it is oriented in the accompanying drawing figures or
otherwise described in the following detailed description. However,
it is to be understood that the embodiments described hereinafter
may assume many alternative variations and configurations. It is
also to be understood that the specific components, devices, and
features illustrated in the accompanying drawing figures and
described herein are simply exemplary and should not be considered
as limiting.
[0111] Referring initially to FIGS. 1-7 and particularly FIG. 7, a
fluid delivery system 10 generally comprises a power fluid injector
head 12, such as a Stellant.RTM. power injector platform
manufactured by Medrad, Inc., and a bladder syringe 20 as described
in detail herein. As is known in the medical field, injecting
contrast media into the bloodstream of patients enables
visualization of various pathologies through X-Ray, Computed
Tomography (CT), Magnetic Resonance (MR), or other medical imaging
modalities. Contrast delivery is most effective and efficient using
a power injector, such as the Stellant.RTM. power injector, that
can be programmed to deliver specific amounts of contrast agent
and/or saline at specific flow rates. A power injector may be used
in diagnosing stroke, heart disease, cancer, vascular disease,
physical injury, digestive disorder, etc. The fluid injector 12
comprises two (2) linearly reciprocal piston elements 14 which each
have a distal piston interface 16 adapted to engage a syringe
plunger disposed within a syringe body. The piston elements 14 are
enclosed within a housing 18 and specific details of a power
injector platform and syringe elements used therewith may be found
in U.S. Pat. Nos. 5,383,858 to Reilly et al.; 5,873,861 to Hitchins
et al.; and 6,652,489 to Trocki et al., all assigned to Medrad,
Inc. and each incorporated herein by reference for disclosure
related to the foregoing elements. This disclosure is explicitly
not limited to utilizing the bladder syringe 20 with contrast media
but may be used for any medicinal fluid to be delivered to a
patient.
[0112] The bladder syringe 20 is a multi-component or composite
device generally comprising a mounting ring 22, a cylindrical body
30, a plunger element 50 disposed in the cylindrical body 30, and a
cap-bladder assembly 100 comprising a cap 102, retainer ring 140,
and a bladder 1140. The bladder syringe 20 is adapted for use in
CT, MR and like procedures and operable at typical operating
pressures of about 300-400 psi, and the bladder 1140 may be
expanded to hold fluid volumes on the order of 200 ml. The
cap-bladder assembly 100 is adapted to be secured to the
cylindrical body 30 by the mounting ring 22. Each of the foregoing
components is discussed hereinafter in detail. The cylindrical body
30 is a unitary, typically, cylindrical body having a distal end 32
and a proximal end 34 and is typically a reusable component, while
the cap-bladder assembly 100 is typically a single-use component.
The cylindrical body 30 has an interior wall 36 that defines a
throughbore 37 between the distal and proximal ends 32, 34. The
proximal end 34 is adapted to interface with the fluid injector 12
and includes a circumferential flange 38 positioned to engage the
front end of the housing 18 of the fluid injector 12 to properly
seat the cylindrical body 30 relative to the fluid injector 12.
Additionally, in the illustrated embodiment, two opposed bayonet
attachment flanges 40 are provided at the proximal end 34 for
interfacing with the fluid injector 12 to secure the cylindrical
body 30 to the fluid injector 12. Further details relating to the
circumferential flange 38 and attachment flanges 40 used to
properly interface the cylindrical body 30 with the fluid injector
12 may be found in the foregoing Medrad, Inc. patents which discuss
similar interfacing features for securing a Stellant.RTM. CT
syringe to a Stellant.RTM. fluid injector. While the foregoing
interfacing features 38, 40 provided on the cylindrical body 30 are
described for interfacing the cylindrical body 30 to a
Stellant.RTM. fluid injector, this description is provided for
exemplary purposes and the proximal end 34 of the cylindrical body
30 may have any suitable configuration for interfacing with any
suitable power fluid injector known in the medical field for power
fluid delivery applications. The Stellant.RTM. fluid injector and
the proximal end features of a Stellant.RTM. syringe, as described
in the foregoing Medrad, Inc. patents, are provided for exemplary
purposes only and should not be considered limiting. For example,
the interface between the proximal end 34 of the cylindrical body
30 and fluid injector 12 may take other front-loading arrangements
as disclosed in the foregoing Trocki et al. patent, or in U.S. Pat.
No. 7,419,478 to Reilly et al. and assigned to Medrad, Inc.
(additionally incorporated herein by reference). An adapter may
also be used to connect the cylindrical body 30 to the fluid
injector 12 as disclosed in U.S. Pat. No. 5,520,653 to Reilly et
al., or in U.S. Pat. Nos. 7,497,843 to Castillo et al. and
6,726,657 to Dedig et al., all assigned to Medrad, Inc. and
incorporated herein by reference for these teachings. All of the
foregoing Medrad, Inc. patents disclose various apparatus and
methods for mounting a syringe body to a fluid injector, whether a
single-syringe fluid injector or multi-syringe fluid injector, and,
further, disclose various apparatus and methods for interfacing a
syringe plunger with a piston element of the fluid injector. Thus,
these patents are incorporated by reference into this disclosure at
least for teaching apparatuses and methods for interfacing the
cylindrical body 30 to the fluid injector 12 and, further, for
interfacing the piston element or elements 14 of the fluid injector
12 with a plunger element 50 disposed within the cylindrical body
30. Suitable embodiments of a syringe plunger may also be found in
the foregoing Medrad, Inc. patents which may be utilized for the
plunger element 50, augmented with the internal passageways and
flow path elements described herein in connection with the plunger
element 50 that are specific for use with the cap-bladder assembly
100. Further, the housing 18 of the fluid injector 12 may comprise
a light ring (not shown) that can encompass all or part of the
axial length of the cylindrical body 30 and all or part of the
cap-bladder assembly 100 to sterilize the cylindrical body 30 and
all or part of the cap-bladder assembly 100 with ultraviolet light
(UV). Additionally, cylindrical body 30 may comprise a barrier or
membrane (not shown) within the bore 37 near the proximal end 34 of
the cylindrical body 30 that acts as a barrier to keep fluid from
entering the injector housing 18 in the event of failure of the
bladder 1140. The barrier forms a reservoir chamber that catches
spilled fluid.
[0113] The distal end 32 of the cylindrical body 30 is formed with
an exterior mounting collar 42. Additionally, the distal end 32 of
the cylindrical body 30 is formed with an end flange or collar 44
having a tapered rim 45 for interfacing with the cap-bladder
assembly 100. The mounting collar 42 is axially spaced from the end
flange 44 and a recess or groove 46 is defined between the mounting
collar 42 and the end flange or collar 44. This recess or groove 46
is provided with a sealing O-ring 48 for forming a substantially
fluid-tight or leak proof seal with the cap-bladder assembly 100 as
described hereinafter. The cylindrical body 30 may be made of any
suitable plastic material, desirably a clear plastic material, such
as, but not limited to, polycarbonate, acrylic, or polyester.
[0114] In brief, during the operation of the bladder syringe 20, as
the piston element 14 of the fluid injector 12, which is connected
to the plunger element 50 in the cylindrical body 30, retracts in
the throughbore 37 of the cylindrical body 30, a vacuum is
generated in the space between the plunger element 50 and the
bladder 1140 of the cap-bladder assembly 100 which expands the
bladder 1140 to draw in fluid. To generate and maintain a vacuum in
the cylindrical body 30, the sealing O-ring 48 is used to maintain
a generally fluid-tight seal between the cap-bladder assembly 100
and the cylindrical body 30, and an additional sealing ring 88
(discussed in detail herein) is provided about the plunger element
50 to establish and maintain a generally fluid-tight seal between
the plunger element 50 and the interior wall 36 of the cylindrical
body 30. A spliced hollow O-ring may be used in place of the
sealing O-ring 48 to lower the insertion force of the cap-bladder
assembly 100 over the O-ring 48. A lubrication coating may also be
added to the sealing O-ring 48.
[0115] The mounting ring 22 is used to secure the cap-bladder
assembly 100 to the cylindrical body 30 as described in detail
herein. The mounting ring 22, in the embodiment illustrated, is of
split-ring construction formed by two half-ring portions 24. Each
half-ring portion 24 has an L-shaped wall in transverse
cross-section which is defined by a longer axial wall 25 and a
shorter, inward-extending radial wall 26. When the respective
half-ring portions 24 are joined together to form the mounting ring
22, the radial walls 26 define an inner diameter of the mounting
ring 22 that is approximately equal to or slightly larger than the
outer diameter of the cylindrical body 30. In this manner, the
radial walls 26 of each half-ring portion 24 may engage the
mounting collar 42 on the cylindrical body 30 in interference
engagement in an axial direction of the cylindrical body 30.
Additionally, the mounting collar 42 desirably extends radially
outward sufficiently to seat against the interior side of the axial
wall 25 of each half-ring portion 24. The axial wall 25 of each of
the half-ring portions 24 further includes one or more
inward-extending radial tabs or threads 28 to engage with
corresponding structures, such as tabs or threads, on the
cap-bladder assembly 100 as described herein. While not shown in
detail in the accompanying figures, inter-engaging structures may
be provided to join together the terminal ends of the respective
half-ring portions 24 to form the mounting ring 22. Such
inter-engaging structures may be of a nature to provide a
releasable snap-fit connection between the terminal ends of the
respective half-ring portions 24. Other suitable releasable
connections between the terminal ends of the respective half-ring
portions 24 may be used, such as by use of a mechanical connection
using mechanical fasteners, adhesives, ultrasonic welding, or
interference fits. If desired, the two half-ring portions 24 may be
joined together at one terminal end with a hinge structure, such as
a living hinge, so that only one securing arrangement is needed to
secure the remaining free terminal ends of the two half-ring
portions 24 together to assemble the mounting ring 22 and secure
the same in association with the cylindrical body 30 and the
cap-bladder assembly 100. This hinged configuration is akin to a
clamshell arrangement.
[0116] The plunger element 50 is disposed within the cylindrical
body 30 and comprises, in the embodiment shown in FIGS. 1B and 4, a
two-piece body formed by a distal or top portion 52 and a proximal
or rear portion 54. The proximal portion 54 includes a pair of legs
56 for interfacing with the piston interface 16 on the piston
elements 14 of the fluid injector 12. If desired, this interface
may be a fusible link in that should this interface become wet with
liquid, such as may occur when the bladder 1140 leaks or ruptures,
the link breaks preventing further reciprocal movement of the
piston element 50 (e.g., the plunger element 50 mechanically
disconnects from the piston element 14). The legs 56 on the
proximal portion 54 of the plunger element 50 are adapted so that
the piston interface 16 may engage the plunger element 50 to
capture the plunger element 50 whereby the piston element 14 may
reciprocally move the plunger element 50 within the cylindrical
body 30. As an example, the legs 56 may flex apart when contacted
by the piston interface 16 so that the interface 16 enters the
space between the flex legs 56. The flexibility of the flex legs 56
is such that the flex legs 56 may snap onto a flange or like
structure on the piston interface 16 whereby the capture of the
plunger element 50 by the piston interface 16 of the piston element
14 may be completed. A suitable embodiment of the flex legs 56 may
be found in the foregoing Reilly et al. (U.S. Pat. No. 5,383,858)
or Hitchins et al. patents, which were incorporated herein by
reference. The distal portion 52 of the plunger element 50 may
comprise a central post 58 that engages a corresponding pocket 60
defined by the proximal portion 54, and the engagement of the
distal portion 52 to the proximal portion 54 may be accomplished by
a frictional engagement between the central post 58 and the pocket
60. A suitable medical grade adhesive may further be provided at
the interface between the central post 58 and the pocket 60 to
secure the connection between the distal portion 52 and the
proximal portion 54. A mechanical fastener may also be used in
addition or apart from the foregoing adhesive connection between
the distal portion 52 and the proximal portion 54, or these
components may be ultrasonically welded together as another
alternative.
[0117] The distal portion 52 of the plunger element 50 may be
formed with an annular chamber 62 about the central post 58 and a
pair of axially-directed passageways 64 is located radially outward
on either side of the annular chamber 62. The respective axial
passageways 64 are in fluid communication with the bore 37 of the
cylindrical body 30 via an intersecting radial passageway 66 that
extends outward to a circumferential outer surface 68 of the distal
portion 52 of the plunger element 50. A porous plug or filter
similar to the porous plug 134 described herein in connection with
FIGS. 10A-10B may be provided in the radial passageway 66 to
prevent bladder 1140 from "extruding" into the radial passageway 66
during operation. The annular chamber 62 may also be formed as two
separate passageways on either side of the central post 58 if
desired. The proximal portion 54 of the plunger element 50 is
likewise formed with a pair of axially-directed passageways 70 that
generally correspond to/align with the axial passageways 64 in the
distal portion 52 of the plunger element 50. The respective axial
passageways 70 in the proximal portion 54 of the plunger element 50
generally have a larger diameter than the corresponding axial
passageways 64 in the distal portion 52 of the plunger element 50
and, further, each define an optional reduced diameter portion 72
extending to a proximal or rear surface 74 of the proximal portion
54 of the plunger element 50. Moreover, the proximal portion 54 of
the plunger element 50 comprises a distal-facing rim 76 formed
radially outward from the respective axial passageways 70 and which
is shaped and positioned to engage a corresponding receiving
annular groove or recess 78 defined in a proximal-facing side of
the distal portion 52 of the plunger element 50. The engagement
between the distal-facing rim 76 on the proximal portion 54 of the
plunger element 50 and the proximal annular groove 78 in the distal
portion 52 of the plunger element 50 may be a frictional engagement
augmented with a suitable medical grade adhesive if desired.
Additionally, an internal O-ring 80 may be disposed at the
interface between the distal-facing rim 76 on the proximal portion
54 of the plunger element 50 and the proximal annular groove 78 in
the distal portion 52 of the plunger element 50, if desired, to
provide a fluid tight seal between the distal portion 52 and the
proximal portion 54. As noted previously, a mechanical fastener may
also be used in addition or apart from an adhesive connection
between the distal portion 52 and the proximal portion 54, or these
components may be ultrasonically welded together as another
alternative which eliminates the need for the mechanical fastener,
an additional securing adhesive, and, further, the internal O-ring
80.
[0118] Further, a one-way check valve 82 may be seated or disposed
in each of the axial passageways 70 in the proximal portion 54 of
the plunger element 50. The check valves 82 may be duckbill-type
check valves having a preset opening pressure. Other suitable valve
designs may also be used and the check valves 82 are not limited to
duckbill-type check valves. Moreover, while the check valves 82 are
presented in this disclosure in connection with the plunger element
50, a single valve 83, as shown in FIG. 1A, may alternatively be
provided in the sidewall of the cylindrical body 30 just below the
cap-bladder assembly 100 and the axial location of the bladder 1140
in the bore 37 of the cylindrical body 30 to vent air from the
cylindrical body 30. In this alternative configuration, as the
plunger element 50 moves forward in the cylindrical body 30 toward
the cap-bladder assembly 100, air is forced out of the cylindrical
body 30 via the sidewall check valve 83, and as the plunger element
50 retracts rearward or proximally in the cylindrical body 30, the
sidewall check valve 83 closes to establish a vacuum in the
cylindrical body 30. The inlets to the respective axial passageways
70 in the proximal portion 54 of the plunger element 50 may be
shaped to seat or support the respective check valves 82. Thus, the
check valves 82 provide the interface between the axial passageways
64 in the distal portion 52 of the plunger element 50 and the axial
passageways 70 in the proximal portion 54 of the plunger element
50. The circumferential or radial outer surface 68 of the distal
portion 52 of the plunger element 50 is shaped to define a tapered
annular space A with the interior wall 36 of the cylindrical body
30. Additionally, the radial outer surface 68 of the distal portion
52 of the plunger element 50 supports a guide ring 84 disposed in a
circumferential groove or recess provided in the radial outer
surface 68. Similarly, a circumferential or radial outer surface 86
of the proximal portion 54 of the plunger element 50 defines a
circumferential groove or recess for supporting a sealing O-ring 88
or "seal ring" 88 that provides a generally fluid-tight or leak
proof seal with the interior wall 36 of the cylindrical body
30.
[0119] Referring additionally to FIGS. 8-9, also discussed further
herein, a fluid, namely air, vent path 90 is established through
the plunger element 50 due to the foregoing internal configuration
of the plunger element 50 to allow venting of the airspace in the
bore 37 distal or forward of the plunger element 50 when the
cap-bladder assembly 100 is disposed on the distal end 32 of the
cylindrical body 30. This vent path 90 is generally defined as
having an inlet at an inlet port 92 to the radial passageway 66 in
the distal portion 52 of the plunger element 50 which is located at
the radial outer surface 68 of the distal portion 52 of the plunger
element 50 and desirably in close proximity to the seal ring 88.
The vent path 90 extends through the radial passageway 66 to the
axial passageway 64 in the distal portion 52 of the plunger element
50 and, further, through the check valve 82 and the axial
passageway 70 in the proximal portion 54 of the plunger element 50.
The vent path 90 has an outlet or exit at an outlet or exit port 94
at the reduced diameter portion 72 of the axial passageway 70 in
the proximal portion 54 of the plunger element 50. The outlet or
exit port 94 of the axial passageway 70 in the proximal portion 54
of the plunger element 50 is shown located at the proximal or rear
surface 74 of the proximal portion 54 of the plunger element 50 but
may be at any location proximal or rearward of the seal ring
88.
[0120] The annular space A about the radial outer surface 68 of the
distal portion 52 of the plunger element 50 is defined generally
between the radial outer surface 68 and the interior wall 36 of the
cylindrical body 30 to allow airflow to reach the inlet port 92 to
the radial passageway 66 in the distal portion 52 of the plunger
element 50. The annular space A is provided for limiting the
potential for the bladder 1140 to be pinched against the interior
wall 36 of the cylindrical body 30 by operation of the plunger
element 50. Additionally, the guide ring 84 disposed about the
radial outer surface 68 of the distal portion 52 of the plunger
element 50 is shaped and sized to permit airflow to reach the inlet
port 92 to the radial passageway 66 in the distal portion 52 of the
plunger element 50.
[0121] In particular, the guide ring 84 is located distal of the
inlet port 92 to the vent path 90 and is designed to have minimal
clearance with the interior wall 36 of the cylindrical body 30 to
allow air to reach the inlet port 92. However, this clearance is
small enough to keep the material of the bladder 1140 in the
cap-bladder assembly 100 from being pulled over or into the inlet
port 92 to the vent path 90, thereby obstructing air flow into the
vent path 90 through the plunger element 50. In other words, the
guide ring 84 generally keeps the material of the bladder 1140 from
being "pinched" between the radial outer surface 68 of the distal
portion 52 of the plunger element 50 and the interior wall 36 of
the cylindrical body 30 which could obstruct air flow into the
inlet port 92 to the vent path 90 through the plunger element 50.
The guide ring 84 may alternatively be designed to contact the
interior wall 36 of the cylindrical body 30, but may include a slot
or slots (not shown) in the outer circumference of the guide ring
84 to allow air to pass to the inlet port 92 of the vent path 90.
The inlet port 92 of the vent path 90, which is the inlet to the
radial passageway 66 in the distal portion 52 of the plunger
element 50, could also incorporate a flap or a porous plastic
cover, as discussed herein in connection with FIG. 1013, to protect
the inlet port 92 during operation of the plunger element 50 to
fill or dispense fluid from the bladder 1140. In particular, such a
flap or porous plastic cover is used to protect the bladder 1140
from "extruding" into the inlet port 92 and may eliminate the need
for a separate guide ring 84. As a result, the seal ring 88 may be
used to prevent the bladder 1140 from being "pinched" between the
distal portion 52 of the plunger element 50 and the interior wall
36 of the cylindrical body 30.
[0122] As shown in FIGS. 1B and 4, the inlet port 92 is located
axially between the guide ring 84 disposed about the radial outer
surface 68 of the distal portion 52 of the plunger element 50 and
the seal ring 88 is disposed about the radial outer surface 86 of
the proximal portion 54 of the plunger element 50. FIGS. 8-9
alternatively illustrate that, if desired, the guide ring 84 may be
formed integrally with the distal portion 52 of the plunger element
50 rather than being a separate ring structure disposed about the
distal portion 52. A further comparison between FIGS. 1B, 4 and 8-9
shows that a mounting mechanical fastener 96 may additionally be
used to secure the connection between the central post 58 on the
distal portion 52 and the corresponding pocket 60 defined by the
proximal portion 54 of the plunger element 50.
[0123] Moreover, from FIGS. 1B, 4, and 8-9, it will be clear that
two distinct vent paths 90 are present through the plunger element
50 due to the internal passage configuration of the plunger element
50. Such dual vent paths 90 are ideally provided on opposing
lateral sides of the plunger element 50 as will be clear from FIGS.
1B and 4. However, FIGS. 8-9 alternatively show that only one such
vent path 90 may be needed in accordance with this disclosure to
allow venting of the airspace in the bore 37 of the cylindrical
body 30, distal or forward of the plunger element 50 when the
cap-bladder assembly 100 is disposed on the distal end 32 of the
cylindrical body 30. Additionally, FIGS. 8-9 alternatively show
that the locations for the distal-facing rim 76 and the annular
groove or recess 78 may be reversed, with the rim 76 being formed
on the proximal-facing side of the distal portion 52 of the plunger
element 50 and the annular groove or recess 78 being formed in the
distal-facing side of the proximal portion 54 of the plunger
element 50. Furthermore, FIGS. 8-9 illustrate that the distal
portion 52 of the plunger element 50 may optionally define a
rounded point or nub 98 for interfacing with (for supporting,
holding, and centering) the bladder 1140 of the cap-bladder
assembly 100 such as a central well portion 1148 of the bladder
1140 shown in FIGS. 12-13 discussed herein. The respective O-rings
comprising the internal ring 80, guide ring 84, and seal ring 88
may be made of any suitable sealing elastomeric material such as
silicone, EPDM, nitrile, and urethane and may have a lubrication
coating applied thereto. Suitable materials for forming the distal
and proximal portions 52, 54 of the plunger element 50 include
plastic materials such as, but not limited to, ABS or
polycarbonate.
[0124] As will be understood from comparing FIG. 1B and FIGS. 8-9,
the distal portion 52 of the plunger element 50 may comprise
different shapes, with the embodiment shown in FIGS. 8-9 comprising
a distal point or nub 98. Differing shapes for the distal portion
52 can lead to different efficiencies for purging air from the
cylindrical body 30 in the airspace forward of the plunger element
50. The distal portion 52 may exhibit the shape shown in FIG. 1B or
FIGS. 8-9 and, further, may exhibit an elongated conical shape with
a rounded tip or end much like FIG. 1B or an elongated conical
shape with a distal point or nub 98. Such an extended or elongated
conical shape may have different taper angles such as 10.degree.,
30.degree., or 45.degree. from horizontal, as examples. In the
embodiment shown in FIGS. 8-9, the distal portion 52 with the
extended point or nub 98 provides more surface area to resist the
distribution of the bladder 1140 toward the interior wall 36 of the
cylindrical body 30 during withdrawal operation of the plunger
element 50 in the bladder syringe 20. Additionally, surface
texturing, as shown in FIGS. 35A-35B discussed herein, such as
external ribs on the distal portion 52 of the plunger element 50
may increase the resistance to the distribution of the bladder 1140
to the interior wall 36 of the cylindrical body 30 during
withdrawal operation of the plunger element 50 in the bladder
syringe 20. Corresponding surface features such as texturing may
also be provided on the membrane portion 1146 of the bladder 1140
facing the plunger element 50 as well (FIGS. 35A-35B).
[0125] The cap-bladder assembly 100 is generally adapted for
connection with the distal end 32 of the cylindrical body 30 and
this connection is secured with the mounting ring 22, as mentioned
previously. The cap-bladder assembly 100 is typically intended to
be a single-use component which may be adapted for use with the
cylindrical body 30, while the cylindrical body 30 may be reused
multiple times for fluid delivery applications and potentially for
multiple patients. The cylindrical body 30, or base, serves as a
pressure jacket for the bladder 1140 in the cap-bladder assembly
100. Thus, the cap-bladder assembly 100 is the portion of the
bladder syringe 20 that is used to contain contrast media and/or
flushing media or other medicinal fluid that is injected into a
patient for diagnostic or treatment purposes. The piston elements
14 of the fluid injector 12 provide the forces needed to move the
plunger element 50 within the bore 37 of the cylindrical body 30,
and the vent path 90 through the plunger element 50 enables the
airspace within the bore 37 between the plunger element 50 and the
bladder 1140 to be vented to the atmosphere as a result of the
movement of the plunger element 50. In particular, forward or
distal movement of the plunger element 50 in the bore 37 of the
cylindrical body 30 in the direction of arrow A.sub.1 in FIG. 8
permits the airspace distal of the plunger element 50 and enclosed
by the cap-bladder assembly 100 to be vented to the atmosphere via
the vent path 90 described previously, and reverse or proximal
movement of the plunger element 50 in the direction of arrow
A.sub.2 in FIG. 9 creates a vacuum in this space. This vacuum
pressure acts upon the cap-bladder assembly 100 to fill the bladder
1140 of this assembly 100 with a desired injection fluid. Once
filled with a desired amount of injection fluid, subsequent forward
or distal operation of the piston element 14 of the fluid injector
12 in the direction of arrow A.sub.1 in FIG. 8 causes the injection
fluid to be dispensed from the cap-bladder assembly 100. While the
discussion in this disclosure provides for drawing a vacuum in the
bore 37 of the cylindrical body 30 to operate the bladder therein,
it may also be possible to fill the bladder 1140 with pressurized
fluid via the discharge conduit 110 on the cap body 104 of the cap
102 and use a regulator (not shown) in the discharge conduit 110 to
limit output pressure of the fluid.
[0126] The cap-bladder assembly 100 generally comprises a cap 102
adapted for connection to the distal end 32 of the cylindrical body
30, a disc-shaped bladder 1140 which is disposed within the
interior of the cap 102, and a retainer ring 140 used to secure the
disc-shaped bladder 1140 within the cap 102. The cap 102 comprises
a unitary cap body 104 defining an interior cavity 106. The cap
body 104 includes a tapered or conical portion 108 that terminates
in a distal discharge luer-type conduit 110 optionally having a
threaded end connector 112. The distal tapered or conical portion
108 is connected radially to a cylindrical portion 114 in the form
of an annular skirt or sidewall that is sized to receive the distal
end 32 of the cylindrical body 30 therein. In certain embodiments
of the cap 102, the cylindrical distal portion 114 of the cap body
104 may be omitted, as in FIG. 47C described herein as one example.
The conical portion 108 provides structural rigidity for the
cap-bladder assembly 100. Desirably, an electrical contact 115a may
be provided on the end flange 44 at the distal end 32 of the
cylindrical body 30 that is adapted to engage an opposing
electrical contact 115b on the interior side of the cylindrical
portion 114 of the cap body of the cap 102, and an electrical
connection may be established between the opposing electrical
contact 115a, 115b when the cap-bladder assembly 100 is mounted to
the distal end 32 of the cylindrical body 30. This presence sensing
arrangement may be communicated to the controller for the fluid
injector 12 so that the presence of the cap-bladder assembly 100 on
the cylindrical body 30 can be confirmed. The cylindrical portion
114 comprises a sidewall 116. The interior cavity 106 is generally
defined by the distal conical portion 108 and the cylindrical
portion 114 of the cap body 104. The opposing electrical contacts
115a, 115b may be provided between the cap body 104 and the distal
end 32 of the cylindrical body 30 in the embodiment shown in FIG.
1A.
[0127] The cap body 104 optionally includes a cylindrical distal
portion 118 in the form of an annular skirt that extends forward or
distally from the radial wall connecting the distal conical portion
108 to the cylindrical portion 114 to partially enclose or shield
the distal conical portion 108 and can further serve as a drip
catcher. The cylindrical distal portion 118 is shown omitted from
FIG. 1A. The cylindrical distal portion 118 is of a height that
permits the distal discharge conduit 110 to extend outward from the
distal conical portion 108. The exterior of the cap body 104 may
have one or more finger flanges 120 bridging the cylindrical
portion 114 and the cylindrical distal portion 118 to allow for
easy handling of the cap 102 and the assembly of the cap 102 with
the cylindrical body 30 and the mounting ring 22. However, the
cylindrical distal portion 118 may be omitted, as shown in FIG. 1A,
wherein the finger flanges are provided on the cap body 104 to
bridge the conical portion 108 and the cylindrical portion 114.
Additionally, the cylindrical portion 114 of the cap body 104
includes exterior tabs or threads 122 to engage with the
inward-extending radial tabs or threads 28 on the half-ring
portions 24 forming the mounting ring 22 to secure the cap 102 to
the distal end 32 of the cylindrical body 30. The distal conical
portion 108 of the cap body 104 includes a depending interior
annular rib or rim 124 to interface with the bladder 1140 and with
the retainer ring 140 used to maintain the bladder 1140 within the
interior cavity 106 of the cap body 104. The annular rib or rim 124
defines a circumferential recess or groove 126 with the cylindrical
portion 114 which accepts a portion of the bladder 1140 therein.
The engagement of the bladder 1140 with this recess or groove 126
is secured by the retainer ring 140. Additionally, the cylindrical
portion 114 includes one or more axially-extending tabs 128 to
engage or interface with the retainer ring 140 to aid in securing
the retainer ring 140 and the accompanying bladder 1140 within the
interior cavity 106 of the cap body 104. Further, the
axially-extending tabs 128 interface with the retainer ring 140 to
prevent rotation thereof in the interior cavity of the cap body
106. The cylindrical portion 114 defines a proximal rim or end 130
of the cap body 104 which is adapted to engage or seat against the
mounting collar 42 on the cylindrical body 30. Additionally, the
sidewall 116 of the cylindrical portion 114 defines an internal
ledge 132 in the interior cavity 106 of the cap body 104 which
provides a shoulder for engagement with the radial flange 142 of
the retainer ring 140.
[0128] As described in the foregoing, the disc-shaped bladder 1140
is intended to be disposed within the interior cavity 106 of the
cap body 104. In the embodiment shown in FIGS. 1-6, the bladder
1140 is a unitary element formed with an outer circumferential rib
1142 having a radially-inward extending portion 1144 and a thinner
central membrane portion 1146. The outer circumferential rib 1142
extends outward from both sides of the membrane portion 1146 and
forms the portion of the bladder 1140 that is used to mount the
bladder 1140 to the retainer ring 140. In the embodiment
illustrated in FIGS. 1-9, the central membrane portion 1146
includes a generally W-shaped central well portion 1148, as shown
in FIG. 6. The bladder 1140 generally has a top or distal side 1150
which faces the distal conical portion 108 of the cap body 104 and
a bottom or proximal side 1152 which faces the plunger element 50
when the cap-bladder assembly 100 is connected to the distal end 32
of the cylindrical body 30. One or both sides 1150, 1152 may be
coated with a lubricious coating to limit frictional interaction
with the interior wall 36 of the cylindrical body 30. The outer rib
1142 is adapted to engage or be received in the groove or recess
126 between the annular rib or rim 124 extending proximally from
the distal conical portion 108 of the cap body 104 and the sidewall
116 of the cylindrical portion 114 of the cap body 104, with the
distal-facing side of the radial portion 1144 of the outer rib 1142
seated against the annular rib or rim 124. The outer rib 1142 and
radial portion 1144 also mount the bladder 1140 to the retainer
ring 140 as described herein.
[0129] The retainer ring 140 generally has an L-shaped transverse
cross-section formed by a radial flange 142 and an axial flange
144. The retainer ring 140 further defines a tapered inner rim 146
that is shaped to engage the tapered rim 45 on the end flange 44 at
the distal end 32 of the cylindrical body 30 when the cap-bladder
assembly 100 is mounted to the distal end 32 of the cylindrical
body 30. The axial flange 144 has an outer diameter generally
corresponding to the inner diameter of the outer rib 1142 of the
bladder 1140 so that the axial flange 144 may seat against the
proximal-facing side of the radial portion 1144 of the outer rib
1142 of the bladder 1140, while the radial flange 142 seats in
engagement with the proximal side or end of the outer rib 1142. The
radial flange 142 of the retainer ring 140 further has an outer
diameter generally corresponding to the inner diameter of the
sidewall 116 so that the radial flange 142 may seat against the
interior of the sidewall 116 of the cap body 104. The frictional
engagement between the outer diameter of the radial flange 142 and
the inner diameter of the sidewall 116 of the cylindrical portion
114 of the cap body 104 is generally sufficient to maintain the
retainer ring 140 and the bladder 1140 supported by the retainer
ring 140 in place within the interior cavity 106 of the cap body
104 prior to and during assembly of the cap-bladder assembly 100 on
the distal end 32 of the cylindrical body 30. In particular, the
illustrated radial flange 142 is segmented and includes a series of
elongated tabs 148 that define the outer diameter of the radial
flange 142 which frictionally engages the interior of the sidewall
116 to maintain the retainer ring 140 and the bladder 1140
supported by the retainer ring 140 in place within the interior
cavity 106 of the cap body 104 prior to and during assembly of the
cap-bladder assembly 100 on the distal end 32 of the cylindrical
body 30. Between the tabs 148, a series of recesses 150 is provided
to interengage with the one or more axially-extending tabs 128 on
the cylindrical portion 114 of the cap body 104 to prevent rotation
of the retainer ring 140 in the interior cavity 106. The foregoing
interengaging feature between the retainer ring 140 and the cap
body 104 serves to at least partially isolate the bladder 1140 from
torque applied to the cap 102 when the cap-bladder assembly 100 is
secured to the cylindrical body 30. The engagement of
axially-extending tabs 128 with the recesses 150 also helps to
frictionally hold the retainer ring 140 in place within the cap
102. Additionally, it may be desirable to stake-over the edges, for
example by ultrasonic or via cold or hot-staking processes, of the
axially extending tabs 128 once the retainer ring 140 is installed
in the cap 102 to retain the retainer ring 140 therein. The
retainer ring 140 may be formed of rigid or semi-rigid material,
such as polypropylene, which is also naturally lubricious which
reduces friction between the retainer ring 140 and the cap body 104
during assembly.
[0130] The foregoing seal arrangement between the bladder 1140 and
cap 102 is external and radially outward from the operating bore 37
of the cylindrical body 30 wherein the plunger element 50 is
operable. As such, a nearly seamless joint is present between the
taper rim 45 of the cylindrical body 30 and the inner diameter of
the retainer ring 140 which the plunger element 50 can ride over
with little resistance as the outer rib 1142 sandwiched between the
cap body 140 and the cylindrical body 30 to help form the seamless
joint.
[0131] In addition to the foregoing configuration of the retainer
ring 140 which is simply press-fit into the cap 102, the retainer
ring 140 may be configured to be threaded into the interior cavity
106 of the cap body 104. Alternatively, the retainer ring 140 may
be designed to "float" once assembled into the cap body 104 for
tolerance control. Additionally, the bladder 1140 may also be
over-molded to retainer ring 140 and assembled to the cap body 104
as described above, or the bladder 1140 could be over-molded
directly to the cap body 104 and the retainer ring 140 would no
longer be necessary. Several molding techniques for forming the cap
body 104, retainer ring 140, and bladder 1140 are described further
herein. The interior cavity 106 of the cap body 104 can include
undercut tabs (not shown) to help retain the retainer ring 140
therein.
[0132] Referring next to FIGS. 10A-10B and 11A-11D, another and
presently preferred embodiment of the plunger element 50 is shown
disposed in the bore 37 of the cylindrical body 30. The plunger
element 50 shares most of the features of the embodiments of the
plunger element 50 described previously, and generally comprises
one vent path 90 through the plunger element 50 in a similar manner
to that shown in FIGS. 8-9. Only relevant differences over the
previous embodiments of the plunger element 50 will now be
described herein. In the presently preferred embodiment of the
plunger element 50, the plunger element 50 comprises a distal
portion 52 and a proximal portion 54, with the seal ring 88
disposed in a recess defined at the interface between the distal
portion 52 and the proximal portion 54. The radial passageway 66 in
the distal portion 52 supports a porous plug 134 that is typically
made of porous plastic like Porex.RTM.. As depicted, the radial
passageway 66 is provided in the distal portion 52 of the plunger
element 50 on the same side as the bladder 1140. Typically, the
radial passageway 66 is provided so that the inlet port 92 of the
vent path 90 and, hence, to the porous plug 134, is located near
the outer edge of the distal portion 52 of the plunger element 50.
In the depicted embodiment, this entrance location is on the
tapering portion of the distal portion 52 of the plunger element
50. This embodiment may optionally include a protective flap or
cover 136, as shown in FIG. 10B, to prevent the bladder 1140 from
extruding into the inlet port 92. The protective flap or cover 136
opens and closes depending fluid pressure within the cylindrical
body 30. The location of the porous plug 134 is important for
proper air purge during filling of the bladder 1140 because the
bladder 1140 eventually seals the inlet port 92 of the porous plug
134 during fluid filling preventing air from passing through the
vent path 90. Thus, it is desirable to locate the inlet port 92
leading to the porous plug 134 near the outer edge or circumference
of the distal portion 52 of the plunger element 50 on the same side
as the bladder 1140 for proper venting of the airspace above the
plunger element 50. The present embodiment of the plunger element
50 also has a distal portion 52 comprising a distal circular recess
138 that surrounds a flat nub or ledge 139. This particular
configuration has been found to work well with the bladder 1140
shown, for example, in FIG. 6 having a membrane portion 1146 with a
W-shaped convoluted central well portion 1148 because the
interaction between the distal circular recess 138 and ledge 139
and the extra material present in the W-shaped convoluted central
well portion 1148 maintains the bladder material aligned in the
cylindrical body 30 during expansion/elongation of the bladder 1140
and thereby enables greater stretching or filling of the bladder
1140. In any of the embodiments of the plunger element 50 and
cylindrical body 30, it is desirable to form the cylindrical body
30 of a material with a low coefficient of friction to allow for
easier release of bladder 1140 and reduce the possibility of having
the bladder 1140 pinch under the seal ring 88. Furthermore, while a
passive porous plug 134 with optional flap or cover 136 is
described in the foregoing, this arrangement may be replaced by a
controlled vent such as an electromechanical device that is
actively controlled by a controller associated with the fluid
injector 12 to open and close the vent path 90 as desired and at
appropriate times to fill and dispense fluid from the bladder
syringe 20. The two halves 52, 54 of the plunger element 50 may be
designed and assembled to compress the seal ring 88 and limit
potential pinching of the bladder 1140. For example, features may
be provided to either half 52, 54 to control the amount and
location of seal compression.
[0133] Additionally, FIGS. 11A-11D illustrate various different
embodiments of the seal ring 88 that may be used with the plunger
element 50 in any of the embodiments of this disclosure. As is
well-known, dynamic seals increase the force applied to a syringe
wall as pressure increases. FIG. 11A shows a suitable quad seal as
the seal ring 88 and FIG. 11D shows a dynamic U-cup seal as the
seal ring 88. Dynamic type seals may help keep the bladder 1140
from extruding past the seal ring 88 at higher pressure and speeds
of the piston element 16 of the fluid injector 12. As the seal ring
88 is used to seal the vacuum in the cylindrical body 30, the
dynamic seal ring 88 as shown in FIG. 11D is designed to increase
the sealing pressure against the interior wall 36 of the
cylindrical body 30. FIG. 11C illustrates another embodiment of a
seal ring 88 in the form of an O-ring energized cap seal and FIG.
11B illustrates an O-ring seal ring 88 as described previously. The
seal ring 88 and guide ring 84 may be made of internally lubricated
seal materials, Teflon.RTM. and the like, or low friction coatings
may be provided on these seals or on the interior wall 36 of the
cylindrical body 30 to reduce friction and increase the life of the
seals. Proper lubrication of the seals 84, 88 is desirable to
prevent the bladder 1140 from "extruding" past the seal.
Additionally, silicone may be applied to the distal portion 52 of
the plunger 50 and/or provided on the proximal side 1152 of the
membrane portion 1146 of each bladder 1140 during manufacturing to
maintain lubrication on the interior wall 36 of the cylindrical
body 30 for maintenance of the seals 84, 88 as well as lower the
friction between the bladder 1140 and the interior wall 36.
Further, the seals 84, 88 may be anti-extrusion seals made from
hydrophobic material wherein air can pass through to vent air from
behind bladder 1140, but if fluid contacts these seals the pathway
becomes obstructed preventing fluid from reaching the interior of
the plunger element 50 and the check valves 82 therein.
Furthermore, one or both of the seals 84, 88 may be moisture
sensitive so that in case of a leak or rupture of the bladder 1140
during use, one or both seals 84, 88 expand and inhibit or prevent
movement of the plunger element 50. As an alternative to the seal
arrangements shown in FIGS. 11A-11D, as shown in FIG. 11E,
cylindrical seal 89 may be seated in the bore 37 of the cylindrical
body 30 that slides or rolls as the plunger element 50 moves within
the bore 37. The cap-bladder assembly 100, cylindrical body 30, and
the plunger element 50 are shown schematically in FIG. 11E for
simplicity and details of these components and their interaction
may be found in the foregoing.
[0134] Moreover, it is also desirable to coat the proximal side
1152 of the bladder 1140 with a lubricant that may be transferred
to the interior wall 36 of the cylindrical body 30 during filling.
This coating may alternatively be an antibiotic/antibacterial
coating that may also be lubricant based and with each expansion of
the bladder 1140 to the interior wall 36 of the cylindrical body
30, the lubricant coating, antibiotic or antibacterial coating, or
lubricant-based antibiotic coating is transferred to the interior
wall 36 and this coating is further transferred to the plunger
element 50, which likewise may be independently coated with an
antibiotic or antibacterial coating, or lubricant-based antibiotic
coating. Furthermore, the distal and proximal portions 52, 54 of
the plunger element 50, cylindrical body 30, and/or bladder 1140
may be molded from antibiotic materials for sterility
enhancement.
[0135] In general, it is desirable to provide the cap-bladder
assembly 100 in prepackaged form, such as sealed in a sterile state
within a packaging container. Such a prepackaged form can maintain
the sterility of the cap-bladder assembly 100 until the packaging
is opened and the cap-bladder assembly 100 is removed therefrom.
Several different packaging embodiments for the cap-bladder
assembly 100 are described later in this disclosure. However, it is
generally desirable that the cap-bladder assembly 100 arrive for
use at a medical facility with the bladder 1140 secured in place by
the retainer ring 140 within the interior cavity 106 of the cap
body 104 in the manner described in the preceding paragraphs. As a
result, the medical practitioner at the medical facility only needs
to open the packaging, remove the cap-bladder assembly 100
therefrom, and mate the cap-bladder assembly 100 with the
cylindrical body 30 as now described hereafter.
[0136] In a typical fluid injection procedure involving the fluid
delivery system 10, the fluid injector 12 is usually prepositioned
within a medical imaging suite of a hospital or other medical
facility and may be permanently affixed somewhere within the
imaging suite. The medical practitioner may perform several
preparatory steps to prepare the fluid injector 12 for a fluid
injection procedure, such as setting up and programming the
controller of the fluid injector 12 for the specified fluid
injection procedure. At least one of these preparatory steps
ideally includes mounting the proximal end 34 of the cylindrical
body 30 to the fluid injector 12 by whatever mounting procedure is
required to mate the cylindrical body 30 to the fluid injector 12.
If the fluid injector 12 is a two-syringe injector, two cylindrical
bodies 30 will be connected to the fluid injector 12. As noted
previously, the cylindrical body 30 may be reusable at least to a
limited degree by number of fluid injections and/or patients. The
cylindrical body 30 with plunger element 50 and mounting ring 22
may be prepackaged in their own container and one of the
preparatory steps will include opening the prepackaged container
and removing one or more cylindrical bodies 30 therefrom. If
desired, the piston elements 14 of the fluid injector 12 may be
moved to a fully extended position.
[0137] Thereafter, the cap-bladder assembly 100 may be secured to
the distal end 32 of the cylindrical body 30. This is generally
accomplished by first placing the split mounting ring 22 in
engagement with mounting collar 42 on the distal end 32 of the
cylindrical body 30. Then, the cap-bladder assembly 100 may be
removed from its packaging and the cylindrical portion 114 of the
cap body 104 may be placed over the end flange 44 on the distal end
32 of the cylindrical body 30. The tapered rim 45 on the end flange
44 facilitates the placement of the cylindrical portion 114 over
the distal end 32 of the cylindrical body 30. Once the one or more
exterior radial tabs or threads 122 on the cylindrical portion 114
of the cap body 104 begin to interface with the corresponding
interior tabs or threads 28 in the mounting ring 22, the cap body
104 may then be rotated or otherwise manipulated to complete the
engagement between the mating sets of tabs or threads 28, 122. An
end feature, such as a tab or rib, on the exterior threads 122 on
the cap body 104 contacts a corresponding feature, such as a tab or
rib, on the engaging threads 28 within the mounting ring 22 to
prevent further rotation of the cap 102 relative to the mounting
ring 22. At this point, the rim or end 130 on the cap body 104 may
be in an axial position where the proximal rim or end 130 seats
against the mounting collar 42 on the cylindrical body 30.
Additionally, the tapered inner rim 146 in the retainer ring 140
seats in engagement with tapered rim 45 on the end flange 44 at the
distal end 32 of the cylindrical body 30. A generally fluid-tight
or leak proof seal is provided by the O-ring 48 disposed between
the cylindrical portion 114 of the cap body 104 and the distal end
32 of the cylindrical body 30, with the threaded engagement
provided by mating threads 28, 122 compressing the O-ring 48
between the cylindrical portion 114 of the cap body 104 and the
distal end 32 of the cylindrical body 30 for a fluid-tight
engagement. The engagement of the tapered inner rim 146 in the
retainer ring 140 with the tapered rim 45 on the end flange 44 at
the distal end 32 of the cylindrical body 30 traps the outer rib
1144 of the bladder 1140 axially within the circumferential recess
or groove 126 defined between the annular rib or rim 124 and the
sidewall 116 of the proximal cylindrical portion 114 of the cap
body 104. The exterior finger flanges 120 allow for easy handling
of the cap body 104 during the assembly of the cap 102 with the
cylindrical body 30. In the present embodiment, alignment between
the mating sets of tabs or threads 28, 122 is not required before
rotation of the cap body 104 begins.
[0138] A disposable fluid set 200, as shown in FIG. 1A, may be
associated with the bladder syringe 20 by joining this set 200 to
the threaded end connector 112 at the end of the discharge conduit
110 of the cap body 104. Alternatively, the disposable fluid set
200 may be provided as an integral part of the discharge conduit
110 of the cap body 104. The disposable fluid set 200 may include
one or more tubing elements 201 terminating in a container spike or
another medical connector element 202 for placing the bladder
syringe 20 in fluid communication with one or more bottles or bags
containing desired injection fluids. The cap body 104 may comprise
a pinch valve or block 203, which is formed as part of one of the
finger flanges 120 in FIG. 1A, for pinching the tubing element 201
and preventing unwanted outflow from the bladder syringe 20. The
pinch valve or block 203 may simply be provided as a tube
holder.
[0139] In the foregoing description, the cap-bladder assembly 100
attaches to the cylindrical body 30 by a screw thread engagement
and this engagement may feature a multiple start thread to reduce
rotation required for assembly of the cap-bladder assembly 100 to
the cylindrical body 30. This thread geometry also reduces the
rotation required for complete assembly. However, this threaded
connection may be equivalently replaced by a bayonet connection
similar to that provided by attachment flanges 40 on the
cylindrical body 30 that mate with the injector housing 18 of the
fluid injector 12. In the foregoing description, the mounting ring
22 is formed from two identical pieces to form a clamshell around
the cylindrical body 30. These two half-ring portions 24 may
alternatively be secured together around the cylindrical body 30
with screws, as noted previously. The two half-ring portions 24
could also be secured to the cylindrical body 30 using a press fit
(as noted previously), ultrasonic welding, heat staking, or through
the use of adhesives. The clamshell configuration of the two
half-ring portions 24 may also contain features which provide
visual, tactile, and audible feedback to the user when the
cap-bladder assembly 100 is fully engaged on the cylindrical body
30.
[0140] Once the cap-bladder assembly 100 is fully engaged on the
cylindrical body 30, fluid filling and air purging operations
involving the bladder syringe 20 may be conducted. Such fluid
filling and air purging operations involve filling the bladder 1140
with a desired injection fluid and purging of air from behind the
filled bladder 1140. Once all of the desired fluid supplies are
associated with the disposable fluid set 200 connected to the
bladder syringe 20, a filling sequence may be initiated by an
operator. The filling sequence fills the bladder 1140 and the
supply lines of the disposable fluid set 200 and this sequence may
be done manually or automatically based on the programming of the
fluid injector 12. In the automatic mode, volume indicators on the
fluid injector head 12 will indicate how much fluid needs to be
loaded to support the injection protocol including the amount of
fluid necessary to air-purge and prime the tubing associated with
the disposable fluid set 200. When a Fill button (not shown) is
pressed on the fluid injector 12, the fluid injector 12
automatically retracts the piston elements 14 to draw in a
predetermined amount of injection fluid. The piston elements 14
then stop and advance to expel any air that was drawn into the
bladder 1140. The piston elements 14 then automatically retract
again until the volume required to perform the injection is loaded
into the bladder 1140 plus an additional amount of fluid, such as
10 ml, as an example. The piston elements 14 then pause for a short
period of time, for example 5 seconds, to ensure all fluid is drawn
into the bladder 1140 then advance to the final volume. The fluid
injection procedure may then be initiated by the attendant operator
by pressing a Start button (not shown) on the fluid injector 12.
Ideally, the fluid injector 12 automatically performs an air check
for air in the tubing of the disposable fluid set 200 and/or the
bladder syringe 20 either in preparation for the fluid injection
procedure or during the fluid injection procedure or in both
instances. Once the fluid injection procedure is completed, the
cap-bladder assembly 100 may be removed from the cylindrical body
30 and discarded. The cylindrical body 30 may remain in place and
be reused or may be replaced as desired by attendant medical
personnel. The foregoing filling and air purging operations may be
done manually in that an attendant operator for the fluid injector
12 may conduct the steps in sequence rather than relying on the
programming provided in the controller associated with the fluid
injector 12. The fluid injector 12 may have a weight sensor (not
shown) in the fluid injector housing 18 that can detect an increase
in weight of one or both of the bladder syringes 20 shown in FIG.
7, indicating that fluid is present in one or both of the bladders
1140 of the bladder syringes 20. The weight sensor may further
include a measurement device to determine gross air present in the
bladder syringe(s) 20 versus a fully liquid-filled syringe(s)
20.
[0141] Referring to FIGS. 8-9, it is desirable for the plunger
element 50 to work in conjunction with the bladder 1140 to maximize
fill volume. When the bladder 1140 contacts the interior wall 36 of
the cylindrical body 30 during filling when the plunger element 50
moves in the direction of arrow A.sub.2, the vacuum behind the
bladder 1140 can restrain the bladder 1140 against the interior
wall 36 of the cylindrical body 30 forcing further expansion of the
bladder 1140 to come from material that is not currently in contact
with the interior wall 36, (e.g., from the center of the membrane
portion 1146). The plunger element 50 may interact with the bladder
1140 to restrict movement of the bladder 1140 outward towards the
interior wall 36 of the cylindrical body 30, which conserves the
bladder material (e.g., thickness) in the center of the membrane
portion 1146 as the plunger element 50 is retracted in the
cylindrical body 30 in the direction of arrow A.sub.2 and the
bladder 1140 expands. Accordingly, those embodiments of the bladder
1140 to be discussed herein that comprise extra material or
features on the membrane portion 1146 as shown, for example, in
FIGS. 12-13 and 15-21, as non-limiting examples, allow for
increased or enhanced fill volumes. Several design features built
into the plunger element 50 and/or bladder 1140 can increase
adhesion of the bladder 1140 to the distal portion 52 of the
plunger element 50. These design features include, as above, a
thicker section in the center of the membrane portion 1146 of the
bladder 1140 or additional material through addition of convolutes
(e.g., additional curves/curvature of the membrane portion 1146), a
steeper angle of taper for the distal portion 52 of the plunger
element 50, or a plunger tip or point 98 with a steep angle to
increase surface area in contact with the bladder 1140. An increase
in the coefficient of friction between the bladder 1140 and distal
portion 52 of the plunger element 50 may also increase fill
volumes. This increase in the coefficient of friction may be
accomplished, for example, through material selection and/or
interengaging surface features such as surface texturing on the
distal portion 52 of the plunger element 50 and the membrane
portion 1146 of the bladder 1140 such as interlocking steps, ribs,
or grooves on the membrane portion 1146 and the distal portion 52
of the plunger element 50, as discussed herein in connection with
FIGS. 35A-35B. Further, as noted previously, the plunger element 50
with a distal portion 52 having a distal circular recess 138 that
surrounds a flat nub or ledge 139 has been found to work
particularly effectively with the bladder 1140 shown, for example,
in FIG. 6 having a membrane portion 1146 with a W-shaped convoluted
central well portion 1148.
[0142] As also noted previously, the vent path 90 through the
plunger element 50 controls the flow of air and liquid in and out
of the bladder syringe 20. In FIGS. 8-9, retraction of the plunger
element 50 in the bladder syringe 20 creates a vacuum which expands
the bladder 1140 to fill the bladder 1140 with fluid. Advancement
of the plunger element 50 dispenses fluid from the filled bladder
1140. Proper filling of the bladder syringe 20 requires a high
vacuum level behind the bladder 1140 in the space in the
cylindrical body 30 between the plunger element 50 and the bladder
1140. To start the fluid fill process, it is desirable that there
be as little air behind the bladder 1140 as possible in order to
generate a high vacuum. The one-way check valves 82 in the plunger
element 50 facilitate removal of air behind the bladder 1140. As
shown in FIG. 8, as the plunger element 50 is advanced in the
direction of arrow A.sub.1 toward the bladder 1140 in preparation
for filling, the singular check valve 82 in this embodiment allows
air to escape from behind the bladder 1140. As noted previously,
duckbill check valves are examples of one-way check valves that
could be used in the plunger element 50. Duckbill check valves
offer the advantage of a self-cleaning sealing surface as well as a
built-in flange for sealing the path around the valve. Reverse or
proximal movement of the plunger element 50 in the direction of
arrow A.sub.2 in FIG. 9 creates a vacuum in this space. This vacuum
pressure acts upon the cap-bladder assembly 100 to fill the bladder
1140 of this assembly 100 with a desired injection fluid. Once
filled with a desired amount of injection fluid, subsequent forward
or distal operation of the piston element 14 of the fluid injector
12 in the direction of arrow A.sub.1 in FIG. 8 causes the injection
fluid to be dispensed from the cap-bladder assembly 100.
[0143] Referring next to FIGS. 12-46, various embodiments and
variations of the bladder syringe 20 are shown, as are numerous
embodiments of the bladder 1140 that are suitable for use in the
cap-bladder assembly 100. While various embodiments and variations
of the bladder syringe 20 along with numerous embodiments of the
bladder 1140 suitable for use in the cap-bladder assembly 100 are
illustrated in FIGS. 12-46, these are not to be considered
exhaustive and other configurations are possible within the scope
and teachings of this disclosure. FIGS. 12-13 show the embodiment
of the bladder 1140 described previously wherein the membrane
portion 1146 includes a generally W-shaped central well portion
1148 defined by a series of "convolutes" "C" or arcuate sections.
The membrane portion 1146 has a generally consistent or uniform
cross-section and the central well portion 1148 generally defines
an overall "W" shape. FIG. 13A-13B shows the bladder 1140 supported
by the retainer ring 140 according to the concepts outlined
previously. With the convoluted central well portion 1148 in the
center of the membrane portion 1146 more material is available in
the inner portion of the membrane portion 1146 when the bladder
1140 is filled, for example, to the 200 ml fill mark. The
convolutes of the central well portion 1148 are identified with
reference character "C". If desired, an additional convolute (not
shown) could be added to the outer edge of the bladder 1140 inward
of the outer rib 1144 so that extra material is available near the
interior wall 36 of the cylindrical body 30 and delay when the
stretching of the bladder 1140 begins. FIG. 12A further shows that
the top or distal side 1150 may have lines, grooves, or markings
1100 which provide a visual indication to attendant medical
personnel of the bladder 1140 being filled with fluid and in a
stretched state. The lines, grooves, or markings 1100 may be
radial, circular, or have any suitable orientation to visually
alert a user. Such markings 1100 may be applied to any of the
embodiments of the bladder 1140 within this disclosure, and may be
disposed on the bottom or proximal side 1152 as well. FIGS. 12C-12D
show that a reinforcing mesh or screen 1153 may be applied to the
innermost convolute C on the top side of the membrane portion 1150
to reinforce this convolute and to interact with the flat nub 139
on the distal portion 52 of the plunger element 50 discussed
previously in connection with FIG. 10A. The mesh or screen 1153
reinforces the weakest portion of the bladder 1140 and may be
cotton fabric, aramid fiber, polyester fiber, and other similar
materials, and may also be stiffer material, like TPE, over-molded
onto the innermost convolute C.
[0144] FIGS. 14A-14B show an embodiment of the bladder 1140 that
has a membrane portion 1146 that is substantially flat or planar
and, thus, this embodiment of the bladder 1140 is non-orientation
specific. This embodiment is akin to a flat trampoline and may have
the advantage of being installed over a plunger element 50 disposed
near or projecting from the distal end 32 of the cylindrical body
30 so that it protrudes from the cylindrical body 30. In this
configuration, the bladder 1140 may be placed over the distal
portion 52 of the plunger element 50 so that the center or tip of
the plunger element 50 would contact the bladder 1140 first as the
bladder 1140 is installed and, thereby, air is forced out from
between the plunger element 50 and the bladder 1140, which could
negate the need for the check valves 82 in the plunger element
50.
[0145] FIGS. 15A-15B shows an embodiment of the bladder 1140
wherein the membrane portion 1146 has a centrally-located solid
disc 1154 stacked on and a second solid disc 1156 each disposed
centrally on the membrane portion 1146. One or both of the top or
distal side 1150 and the bottom or proximal side 1152 of the
membrane portion 1146 may have the foregoing solid discs 1154,
1156. Due to the presence of the solid discs 1154, 1156, it will be
appreciated that the membrane portion 1146 exhibits a non-uniform
cross-section in this embodiment. In this embodiment, there is
thicker material in the center of the bladder 1140, particularly
the inner one-third (1/3) of the membrane portion 1146. In use,
this inner one-third area formed by the solid discs 1154, 1156 is
stretched very thin because the outer two-thirds is "vacuumed" to
the interior wall 36 of the cylindrical body 30 and contributes
little to the stretch. A thicker wall section in the inner
one-third area, as present in this embodiment, provides a bladder
1140 with less stress at higher fill volumes and able to deliver
fluid under high pressure.
[0146] FIGS. 16A-16B show an embodiment of the bladder 1140 with a
membrane portion 1146 having a centrally-located solid ring 1158.
One or both of the top or distal side 1150 and the bottom or
proximal side 1152 of the membrane portion 1146 may have the
foregoing solid ring 1158. Due to the presence of the solid ring
1158, it will be appreciated that the membrane portion 1146
exhibits a non-uniform cross-section in this embodiment. In this
embodiment, the annular solid ring 1158 in the center of the
bladder 1140 contributes to the stretching and filling of the
bladder 1140. The embodiment of FIGS. 16A-16B is one of several
embodiments in this disclosure that comprise additional material in
the center area of the membrane portion 1146 so that, for example,
there is an interaction between the distal circular recess 138 and
ledge 139 of the plunger element 50 in FIGS. 10A-10B to maintain
the bladder material aligned in the cylindrical body 30 during
expansion/elongation of the bladder 1140 and thereby enables
greater stretching or filling of the bladder 1140; any of the
embodiments of the bladder 1140 having extra center material may
have this interaction feature.
[0147] FIGS. 17A-17B illustrate an embodiment of the bladder 1140
having a membrane portion 1146 that includes a W-shaped central
well portion 1160. The raised central well portion 1160 has a flat
or planar top portion 1162 and a tapering sidewall 1164 leading to
an annular outer convolute 1165. The membrane portion 1146 has a
generally uniform thickness or cross-section in this embodiment.
The "top hat" profile in this embodiment adds material in only one
convolute 1165. By adding the convolute 1165 toward the outside
radius the area increases quickly by the square of the radius.
[0148] FIGS. 18A-18B illustrate an embodiment of the bladder 1140
having a membrane portion 1146 with a similar W-shaped central well
portion 1160 to that shown in FIGS. 17A-17B but further includes a
thickened central portion 1166 which may be considered to be formed
by two stacked disc portions 1168, 1170 provided on opposing sides
1150, 1152 of the membrane portion 1146. Due to the presence of the
thickened central portion 1166, the membrane portion 1146 has a
non-uniform cross-section in this embodiment. Extra material in the
center of the membrane portion 1146 along with the inclusion of a
single outer convolute 1165 provides extra material in the center
for dispersion to the interior wall 36 of the cylindrical body 30
and greater fill volumes.
[0149] FIGS. 19A-19B illustrate an embodiment of the bladder 1140
having a membrane portion 1146 with a series of radially-directed
hollow bulbous portions that define radial convolutes 1172 formed
as part of the membrane portion 1146 and which extend upward from
the top or distal side 1150 of the membrane portion 1146. The
radial convolutes 1172 increase the surface area of the membrane
portion 1146 from the center outward. The width of the individual
radial convolutes 1172 may be wider as they approach the center of
the membrane portion 1146 to provide more material toward the
center of the membrane portion 1146.
[0150] FIGS. 20A-20B illustrate an embodiment of the bladder 1140
having a membrane portion 1146 with a series of concentric friction
ribs 1174 formed on the membrane portion 1146. One or both of the
top or distal side 1150 and the bottom or proximal side 1152 of the
membrane portion 1146 may have the foregoing concentric ribs 1174.
Due to the presence of the concentric ribs 1174 on the membrane
portion 1146, the membrane portion 1146 has a non-uniform
cross-section in this embodiment. The friction ribs 1174 resist
sliding down the plunger element 50 and increase friction to slow
expansion of the bladder 1140 along the plunger 50 and retain the
thickness of the membrane portion 1146 for a longer period of time
during expansion. If the concentric friction ribs 1174 are formed
on the bottom or proximal side 1152 of the membrane portion 1146,
the distal portion 52 of the plunger element 50 may have opposing
annular grooves to engage or interact with the concentric friction
ribs 1174.
[0151] FIGS. 21A-21B illustrate an embodiment of the bladder 1140
in which the membrane portion 1146 has a central "wagon wheel"
formation 1176 surrounded by outer concentric solid rings 1178. The
wagon wheel formation 1176 includes a central raised disc 1180 and
a series of radial spokes or ribs 1182 extending outward from the
central raised disc 1180. An inner concentric solid ring 1184
extends concentrically about the central raised disc 1180 to
intersect the various radial spokes or ribs 1182. One or both of
the top or distal side 1150 and the bottom or proximal side 1152 of
the membrane portion 1146 may have the foregoing wagon wheel
formation 1176 surrounded by the outer concentric solid rings 1178.
The radial ribs 1182 that extend from the center of the membrane
portion 1146 add stiffness to the bladder 1140 in this embodiment
and retard stretch of material to the interior wall 36 of the
cylindrical body 30. Material from the radial ribs 1182 could also
be spread out circumferentially to help maintain a minimum
thickness of the membrane portion 1146 at extended fill
volumes.
[0152] FIGS. 22A-22B illustrate an embodiment of the bladder 1140
in which the membrane portion 1146 is folded and twisted like a
"Jiffy Pop.RTM." popcorn folded aluminum foil lid The twisted and
folded membrane portion 1146 could be on the top side 1150 and/or
the bottom side 1152, and by applying a vacuum, the bottom side
1152 could pull down and the top side 1150 expand up. In the
present embodiment, the material comprising the bladder 1140 may
not have to be resiliently elastic. For simplicity, the details of
the outer circumferential rib 1142 and radially-inward extending
portion 1144 are omitted in FIGS. 22A-22B.
[0153] FIG. 23A-23B illustrate an embodiment of the bladder 1140
having a series of concentric angular-shaped convolutes 1186 in the
membrane portion 1146. The use of a series of concentric convolutes
1186, generally triangular-shaped convolutes 1186, increases the
surface area of the bladder material. For simplicity, the details
of the outer circumferential rib 1142 and radially-inward extending
portion 1144 are omitted in FIGS. 23A-23B.
[0154] FIGS. 24A-24B illustrate an embodiment of the bladder 1140
in which the membrane portion 1146 is shaped like a flat trampoline
with a thinner section 1190 in the center and a thicker outer
section 1192 tapering from the thinner center section 1190. The
thicker outer section 1192 on the outside of the membrane portion
1146 provides more material for stretching of the bladder 1140 and
the thinner inner or center section 1190 creates more stress to
cause the thicker outer section 1192 to contribute more to the
expansion of the bladder 1140 during operation. For simplicity, the
details of the outer circumferential rib 1142 and radially-inward
extending portion 1144 are omitted in FIGS. 24A-24B.
[0155] FIG. 25A-25B illustrate an embodiment of the bladder 1140 in
which the membrane portion 1146 has a flat trampoline center
section 1194 in the center and two outer concentric ribs 1196. The
outermost rib 1196 may optionally form the circumferential edge of
the bladder 1140 and thus necessitate a change in the shape of the
circumferential recess or groove 126 in the cap body 104 which
secures the bladder 1140 therein, and a corresponding change in the
shape defined by the radial and axial flange 142, 144 of the
retainer ring 140. Alternatively, the details of the outer
circumferential rib 1142 and radially-inward extending portion 1144
could be included in the membrane portion 1146 of this embodiment,
outward from the outermost rib 1196. FIGS. 26A-26B illustrate a
variation of the embodiment shown in FIGS. 25A-25B wherein a
plurality of concentric ribs 1196 is provided outward from the flat
trampoline center section 1194. For simplicity, the details of the
outer circumferential rib 1142 and radially-inward extending
portion 1144 are omitted in FIGS. 26A-26B.
[0156] FIGS. 27A-27B illustrate an embodiment of the bladder 1140
in which the membrane portion 1146 has a series of thicker wall
sections 1198 near the center of the bladder 1140, with the inner
most wall section 1198 having the thickest cross-section. This
embodiment allows for more material to be available in the center
as the membrane portion 1146 is extended. The wall thickness
increase could be a gradual transition rather than the shown
stepped configuration. For simplicity, the details of the outer
circumferential rib 1142 and radially-inward extending portion 1144
are omitted in FIGS. 27A-27B.
[0157] FIGS. 28A-28B illustrate an embodiment of the bladder 1140
in which the membrane portion 1146 defines a central well portion
1200 connected to an outer rim 1202 by a series of frangible webs
1204 that retard the release of bladder material to the interior
wall 36 of the cylindrical body 30. Since the webs or ribs 1204 are
frangible and tear away after a certain strain is achieved, the
bladder 1140 in this embodiment is a one-time use component. For
simplicity, the details of the outer circumferential rib 1142
(connected to the outer rim 1202) and radially-inward extending
portion 1144 are omitted in FIGS. 28A-28B.
[0158] FIGS. 29A-29B illustrate an embodiment of the bladder 1140
in which the membrane portion 1146 has a second material molded-in
or adhered to the outside surface to reduce the sliding along the
plunger element 50. This material could have a higher coefficient
of friction and could be friction bands 1206 around the membrane
portion 1146, or could be in the form of friction pads 1206
provided on the bottom side 1152 of the membrane portion 1146 as
illustrated. For simplicity, the details of the outer
circumferential rib 1142 and radially-inward extending portion 1144
are omitted in FIGS. 29A-29B.
[0159] FIGS. 30A-30B illustrate an embodiment of the bladder 1140
in which the membrane portion 1146 has extra material 1208 on the
outside circumference. This extra material 1208 is rolled-up like a
condom instead of having one or more convolutes. The extra material
1208 unrolls as a vacuum draws the bladder 1140 like a rolling
diaphragm. There may be a thicker section of material (not shown)
in the center of the membrane portion 1146 to allow for additional
stretch at extended fill volumes of the bladder 1140. For
simplicity, the details of the outer circumferential rib 1142 and
radially-inward extending portion 1144 are omitted in FIGS.
30A-30B.
[0160] FIGS. 31A-31B illustrate an embodiment of the bladder 1140
in which the membrane portion 1146 is composed of two or more
materials. One material could be, for example, polypropylene to
reduce friction. Additionally, the membrane portion 1146 could have
over-molded ribs 1210 on the bottom side 1152 of the bladder 1140
that help keep the bladder 1140 from sticking to the interior wall
36 of the cylindrical body 30. These over-molded ribs 1210 are
operable to lift the bladder 1140 off the interior wall 36 because
they are raised surfaces, and may be made of a material with a low
coefficient of friction, such as polypropylene, to enable the
bladder 1140 to stretch down the interior wall 36. The over-molded
ribs 1210 do not have to be continuous and could be short segments
as illustrated to allow the bladder 1140 freedom to stretch in all
directions. For simplicity, the details of the outer
circumferential rib 1142 and radially-inward extending portion 1144
are omitted in FIGS. 31A-31B.
[0161] FIGS. 32A-32B illustrate a clam-shaped embodiment of the
bladder 1140. In this embodiment, the membrane portion 1146 is
shaped like a clam with an undulating surface texture 1212 that
creates more surface area for a constrained diameter. This membrane
portion 1146 may have a uniform wall thickness or varying wall
thickness. For simplicity, the details of the outer circumferential
rib 1142 and radially-inward extending portion 1144 are omitted in
FIGS. 32A-32B.
[0162] FIGS. 33A-33B illustrate an embodiment of the bladder 1140
in which the membrane portion 1146 has a non-symmetric
cross-section such as formed by interlinked hourglass shaped
sections or beads 1214 with repeated thick and thin sections/beads.
For simplicity, the details of the outer circumferential rib 1142
and radially-inward extending portion 1144 are omitted in FIGS.
33A-33B.
[0163] FIGS. 34A-34B illustrate an embodiment of the bladder 1140
in which the membrane portion 1146 has a flat trampoline center
section 1216 in the center and a series or plurality of stepped and
radially-extending ribs or spokes 1218 extending outward from the
center section 1216 to the outer circumferential rib 1142. The
stepped and radially-extending ribs or spokes 1218 may be provided
on the bottom or proximal side 1152 of the membrane portion 1146,
as illustrated, or on both sides.
[0164] FIGS. 35A-35B show an embodiment of the bladder 1140 similar
to the bladder 1140 shown in FIGS. 34A-34B. In the embodiment shown
in FIGS. 35A-35B, the bottom side 1152 of the membrane portion has
a flat trampoline center section 1220 in the center and a series or
plurality of concentric stepped or ridged portions 1222 around the
center section 1220. These concentric stepped or ridged portions
1222 may be adapted to cooperate with corresponding concentric
stepped or ridged portions 1224 on the surface of the distal
portion 52 of the plunger element 50. In this embodiment, material
is present in the center of the bladder 1140 in the unstretched
state. Thicker material is present due to the stepped increases in
the thickness toward the center of the membrane portion 1146 and
the stepped or ridged portions 1224 on the plunger element 50 are
disposed to cooperatively engage the corresponding concentric
stepped or ridged portions 1222 to retard the distribution of the
bladder material to the interior wall 36 of the cylindrical portion
30. As the steps or ridges 1222 lock on the steps or ridges 1224 on
the distal portion 52 of the plunger 50, the bladder material will
be pulled until the strain on the bladder 1140 causes the material
to thin in the area of the ridge 1224 and it will be released and a
new transition or portion will slide down until it "locks" onto the
subsequent plunger ridge 1224 until the steps or ridges 1222
ultimately disappear as the bladder 1140 is filled and stretched.
The plunger element 50 may have multiple steps or ridges 1224 or
only require a singular step or ridge 1224 toward the outside
radius thereof.
[0165] Referring next to FIG. 36, vertical grooves 1226 may be
provided on the interior wall 36 of the cylindrical body 30 to
desirably reduce sliding friction between the bladder 1140 and the
interior wall 36 and allow the bladder 1140 to slide more easily
along the interior wall 36. The vertical grooves 1226 are operable
to lift the bladder 1140 off the interior wall 36 because they
reduce the area in surface contact between the bladder 1140 and the
interior wall 36. While vertical grooves 1226 are shown in FIG. 36,
it is possible to modify the surface finish of the interior wall 36
in other ways to reduce the amount of surface area contact between
the bladder 1140 and the interior wall 36. This modification could
be done when molding the cylindrical body 30, such as providing the
interior wall 36 with straight groove lines, as shown, adding a
roughened surface finish, or adding vertical ribs along the
interior wall 36 of the cylindrical body 30.
[0166] Referring to FIG. 37, an embodiment of the bladder 1140 is
shown in which the membrane portion 1146, or body of the bladder
1140, is in the form of a rolling diaphragm 1228. In FIG. 37, the
plunger element 50, cylindrical body 30, and cap-bladder assembly
10 of the bladder syringe 20 are shown schematically, and details
of the connection/interaction between these elements are omitted
but may be similar to that shown in FIGS. 1-2. The rolling
diaphragm 1228 is longer in the axial direction in the bore 37 of
the cylindrical body 30 and is adapted to fold over onto itself.
The plunger element 50 operates as a displacement plunger and does
not seal against the interior wall 36 of the cylindrical body 30,
and is sized to provide a small annular clearance area between the
plunger element 50 and the interior wall 36 of the cylindrical body
30 on the order of two thicknesses of the rolling diaphragm 1228.
The rolling diaphragm 1228 may be resiliently elastic or may be not
be stretchable in this embodiment. If the rolling diaphragm 1228 is
not stretchable, then the rolling diaphragm 1228 is desirably about
half the length of the cylindrical body 30.
[0167] Referring to FIG. 38, in this embodiment the bladder 1140
has a membrane portion 1146, or body, of the bladder 1140, that is
molded out of a non-fellable material, such as thin walled PET. In
this embodiment, the membrane portion 1146, or body, of the bladder
1140 is shaped like an open topped cylinder 1230. The walls of the
bladder cylinder 1230 are corrugated and folded like a bellows. In
FIG. 38, the plunger element 50, cylindrical body 30, and
cap-bladder assembly 100 of the bladder syringe 20 are shown
schematically, and details of the connection/interaction between
these elements are omitted but may be similar to that shown in
FIGS. 1-2. The piston element 50 has a large distal disc portion
1232 to support a rigid bottom 1234 of the bladder cylinder 1230
and a fixed or inter-engaging connection may be provided between
the bladder cylinder bottom 1234 and the disc portion 1232 to
enable the piston element 50 to operate the bladder cylinder 1230
in the forward or distal and rearward or proximal directions in the
bore 37 of the cylindrical body 30. The bladder cylinder 1230 may
be blow molded in this embodiment and be in other shapes rather
than cylindrical, such as a diamond shape (e.g., polygonal).
[0168] Referring to FIGS. 39A-39B, an embodiment of the bladder
1140 has a membrane portion 1146, or body, of the bladder 1140,
that is formed by a cup-shaped distal portion 1236 and a depending
rolled-up portion 1238. FIG. 39A shows an isolation view of the
bladder 1140 according to this embodiment, and FIG. 39B shows the
bladder 1140 associated with the overall bladder syringe 20. In
FIG. 39B, the plunger element 50, cylindrical body 30, and
cap-bladder assembly 100 of the bladder syringe 20 are shown
schematically, and details of the connection/interaction between
the cup-shaped portion 1236 of the bladder 1140 and the cap body
104 are omitted but may be similar to that shown in FIGS. 1-2. In
use, air is removed from behind the bladder 1140 in this embodiment
by advancing the plunger element 50 until the shape of the bladder
1140 is completely flat in the cap body 104 and then the bladder
1140 is filled according to the general procedure described
previously using vacuum pressure, which unfurls the depending
rolled up portion 1238. The bladder 1140 in this embodiment is
stiff enough to expand without vacuum.
[0169] Referring next to FIG. 40, an embodiment of the bladder 1140
is shown that is pulled down by operation of the plunger element 50
rather than vacuum-operated. In this embodiment, the membrane
portion 1146 is shaped like an open cylinder with a rigid bottom
portion 1240 and a flexible sidewall 1242. If desired, the rigid
bottom portion 1240 and flexible sidewall 1242 may be integrally
molded together and, further, the rigid bottom portion 1240,
flexible sidewall 1242, and cap body 104 may all be molded
integrally together using co-injection molding techniques to arrive
at the schematically illustrated embodiment shown in FIG. 40. In
operation, the plunger element 50 is adapted with a connecting
element 1244 that is adapted to engage a corresponding connecting
element 1246 in the rigid body portion 1240 so that the rigid
bottom portion 1240 and plunger element 50 become fixed together.
During the reciprocal movement of the plunger element 50, in the
directions of arrows A.sub.1, A.sub.2 described previously, the
flexible sidewall 1242 stretches based on the linear movement of
the piston element 50. In FIG. 40, the plunger element 50,
cylindrical body 30, and cap-bladder assembly 100 are shown
schematically, and details of the connection/interaction between
the cylindrical body 30 and the cap-bladder assembly 100 may be
found in the foregoing.
[0170] In FIG. 41, an embodiment of the bladder 1140 is shown in
which the membrane portion 1146 matches a tapered profile 1248 of
the interior cavity 106 of the cap body 104 and has an open end
1250 with a short sidewall 1252. In this embodiment, the bladder
1140 nests into the interior cavity 106 of the cap body 104 and is
protected. In operation, the plunger element 50 (not shown in FIG.
41) is moved forward or distally into the interior cavity to expel
air out from between the distal portion 52 of the plunger 50 and
the bladder 1140 and is then drawn backward to cause the bladder
1140 to fill with fluid. As the plunger element 50 retracts vacuum
pressure is generated and the membrane portion 1146, which has the
shape of the interior cavity 106 of the cap body 104, to enable the
bladder 1140 to fill with fluid. In FIG. 41, the cylindrical body
30 and cap-bladder assembly 100 are shown schematically, and
details of the connection/interaction between the cylindrical body
30 and the cap-bladder assembly 100 may be found in the
foregoing.
[0171] In FIGS. 42A-42B, an embodiment of the bladder 1140 is shown
in which the membrane portion 1146 is provided in the form of a
flexible body that has an outer diameter to fit within the inner
diameter of the cylindrical body 30, and the cap body 104 is molded
as a solid planar end cap that is adapted to seat onto a planar top
rim 45 of the cylindrical body 30. Additionally, the flexible body
has a side connector 1254, which is illustrated as a luer connector
for connection to a fluid container or tubing set, as examples. The
bladder 1140 may be of two-piece construction in which the side
connector 1254 is molded of a different material than the flexible
cylindrical bladder 1140. For example, the side connector 1254 may
be co-injection molded with the flexible bladder 1140 yielding a
unitary structure as illustrated in FIGS. 42A-42B. Once the
flexible bladder 1140 is placed in the cylindrical body 30, the
plunger element 50 (not shown) is moved forward or distally to
expel air out from the flexible bladder 1140 via the side connector
1254, and withdrawal of the plunger element 50 draws a vacuum in
the cylindrical body 30 and fluid enters the flexible bladder 1140
via the side connector 1254.
[0172] Referring to FIGS. 43A-43C, another embodiment of the
bladder syringe 20 is shown that incorporates a dual vacuum plunger
element 50. In this embodiment, the bladder 1140 has the general
configuration of the bladder 20 shown in FIGS. 12A-12B with the
membrane portion 1146 having a general W-shaped convoluted central
well portion 1148 so that extra material is present in the center
of the membrane portion 1146 to allow for slow release of material
to the interior wall 36 of the cylindrical body 30. The dual vacuum
plunger element 50 comprises an outer plunger element 152
surrounding an inner plunger element 154, with the inner plunger
element 154 being movable relative to the outer plunger element
152. The inner plunger element 154 comprises a conical distal
portion 156 generally shaped to engage the center of the W-shaped
convoluted central well portion 1148 of the bladder 20, as
generally shown in FIG. 43A, and a cylindrical proximal portion
158. An internal vent 159 extends interiorly within the cylindrical
portion 158 from the circumferential exterior of the cylindrical
portion 158 to a proximal end 160 of the cylindrical portion 158.
The proximal end 160 of the cylindrical portion 158 is provided
with engagement tabs 161 for engagement with the piston interface
tip 16 of the piston element 14 of the fluid injector 12 shown in
FIG. 7, discussed previously. In operation, air is expunged from
between the bladder 1146 and the cap body 104 by advancing the dual
plunger element 50, in the assembled state shown in FIG. 43A,
forward so that the conical distal end presented by the assembled
dual plunger element 50 seats in the interior cavity 106 of the cap
body 104 in a similar manner to the operation of the bladder
syringe 20 discussed previously. The internal vent 159 permits air
to be vented from the bore 37 of the cylindrical body 30 distal or
forward of the dual plunger element 50 as the dual plunger element
50 is advanced.
[0173] In the present embodiment, when it is desired to fill the
bladder syringe 20, the inner plunger element 154 retracts first
relative to the outer plunger element 152, as shown in FIG. 43B,
thereby closing the internal vent 159 and drawing in the loose
material of the convoluted central well portion 1148 of the bladder
20 into an annular space 162 defined by the outer plunger element
152 wherein the inner plunger element 154 is located, as shown in
FIGS. 43B-43C. At this point, the outer piston element 152 also
engages or contacts the bladder 1140. In FIG. 43C, the cylindrical
portion 158 of the inner plunger element 154 seats against a
shoulder 164 defined by the outer plunger element 152 in the
annular space 162 and both the outer plunger element 152 and the
inner plunger element 154 thereafter retract together. As the
plunger elements 152, 154 retract and the bladder 1140 fills with
fluid, and the bladder material in contact with the outer plunger
element 152 is drawn out first followed by the loose material at
the center of the W-shaped convoluted central well portion 1148 in
contact with the inner plunger element 154. Once the bladder 1140
is filled with fluid to the desired volume, the plunger elements
152, 154 may be advanced together by the piston element 14 of the
fluid injector 12 shown in FIG. 7. A mechanical pre-stretch of the
bladder 1140 could also be performed before operation of the dual
plunger element 50 in the foregoing manner. In FIGS. 43B-43C, the
connection between the cap-bladder assembly 100 and the cylindrical
body 30 is shown schematically. In summary, in the embodiment shown
in FIGS. 43B-43C, a co-axial dual plunger element 50 is used to
generate a vacuum. As the dual plunger element 50 moves forward,
the interior vent 159 is open allowing the air between the bladder
1140 and the piston dual plunger element 50 to escape. When the
piston element 14 of the fluid injector 12 draws the dual plunger
element 50 back, the inner plunger element 154 withdraws into the
outer plunger element 152 closing and sealing the internal vent 159
in the inner plunger element 154 and creating a vacuum. The
co-axial dual plunger element 50 pulls bladder material into the
center as the annular space 162 is formed or opens between the
inner and outer plunger elements 152, 154 to keep the bladder 1140
in a correct position for filling.
[0174] Referring to FIGS. 44A-44B, another embodiment of the
bladder syringe 20 is shown that incorporates a cylindrical body
30, plunger element 50, cap body 104, and bladder 1140 each set an
angle to allow for more surface area of contact between the bladder
1140 and plunger element 50. In these figures, the plunger element
50, cylindrical body 30, and cap body 104 of the bladder syringe 20
are shown schematically, and details of the connection/interaction
between these elements are omitted but may be similar to that shown
in FIGS. 1-2. In this embodiment, the distal end 32 of the
cylindrical body 30 and a distal plunger head 166 of the plunger
element 50 define corresponding obtuse angles with a horizontal
plane H, and the cap body 104 is formed to match the angular shape
of the distal end 32 of the cylindrical body 30. The bladder 1140
comprises a planar membrane portion 1146 but the membrane portion
defines the same angle as the foregoing components between the
circumferential rib 1144. This angular orientation allows more
bladder material to be stretched as the angled plunger element 50
is withdrawn in the cylindrical body 30 during filling of the
bladder 1140. The bladder 1140 is also placed at an obtuse angle to
the interior wall 36 of the cylindrical body 30, as opposed to
perpendicular as in previous embodiments, and this obtuse angle
provides a greater surface area for contact between the bladder
1140 and plunger element 50, and the angular orientation increases
the surface area of available bladder material as well as the
surface contact area with the plunger element 50. The greater
contact surface area means less strain on the bladder 1140 as it is
stretched to extended fill volumes. The distal plunger head 166 of
the plunger element 50 is generally shaped to accommodate this
obtuse angle, and could also be square or round depending on the
cross-sectional shape of the cylindrical body 30, which need not be
horizontal and circular in cross-section in this embodiment. A
further alternative for this embodiment mounts the bladder 1140 at
an obtuse angle but is provided to have a shape to match the
conical interior cavity of the conical cap body 104 shown in
previous embodiments. In FIGS. 44A-44B, the connection between the
cap-bladder assembly 100 and the cylindrical body 30 is shown
schematically.
[0175] Referring to FIGS. 45A-45B, another embodiment of the
bladder syringe 20 is shown schematically in which the cap body 104
and bladder 1140 are breach-loaded into the bore 37 of the
cylindrical body 30. Prior to use, the cap body 104 and bladder
1140 may be disposed in the bore 37 of the cylindrical body 30 at
the proximal end 34 of the cylindrical body 30. In this embodiment,
the distal end 32 of the cylindrical body 30 may be conical-shaped
and define a distal opening 168. The plunger element 50 has a
plunger head 170 that is shaped to match the interior shape of the
cap body 104, and the plunger element 50 is used to move the cap
body 104 and the bladder 1140 forward in the bore 37 of the
cylindrical body 30. The cap body 104 further comprises a locking
rim 172 on the discharge conduit 110 that is adapted for engagement
with the distal opening 168 so that when the plunger element 50
moves the cap body 104 and bladder 1140 forward to the conical
distal end 32 of the cylindrical body 30, the discharge conduit 110
passes through the distal opening 168 and the cap body 104
eventually locks onto the conical shaped distal end 32 of the
cylindrical body 30 via the locking rim 172. One of the locking rim
172 and distal opening 168 is desirably capable of a certain degree
of resilient flexure, such as providing resilient flexible segments
in the distal end 32 of the cylindrical body 30 that define the
distal opening 168, so that the locking rim 172 may pass through
the distal opening 168 and engage and lock onto the conical distal
end 32 of the cylindrical body 30. The distal or forward movement
of the plunger element 50 to lock the cap body 104 to the distal
end 32 of the cylindrical body 30 also expel air from the space
between the bladder 1140 and the cap body 104 via the discharge
conduit 110. When the plunger element 50 is withdrawn in the
cylindrical body 30, the bladder 1140 is stretched under vacuum
pressure in the manner discussed previously and filled with fluid
while the cap body 104 remains connected to the distal end 32 of
the cylindrical body 30. The bladder 1140 is extended when the
plunger head 170 of the plunger element 50 is advanced into
interior cavity 106 of the cap body 104.
[0176] Referring to FIGS. 46A-46C, another embodiment of the
bladder syringe 20 is shown schematically and comprising a dual
diaphragm arrangement 174 which is driven by a fluid displacement
actuator 176. In this embodiment, a syringe body 178 is provided
having a closed distal end 180 and an open proximal end 182. The
distal end 180 has a discharge port 184 with an end connector. The
proximal end 182 of the syringe body 178 is adapted for a
releasable fixed connection with the fluid displacement actuator
176, such as may be found in the Medrad, Inc. patents discussed
previously, which describe interfacing features for securing a
Stellant.RTM. CT syringe to a Stellant.RTM. fluid injector. The
fluid displacement actuator 176 comprises an open interfacing end
186 to accept and connect to the proximal end 182 of the syringe
body 178, and further comprises a pressurization port 188 for
connection to a fluid pressurizing source used to pressurize the
fluid displacement actuator 176. A reusable bladder 190 is provided
in the fluid displacement actuator 176 and is adapted to drive a
disposable bladder 192 that covers the proximal end 182 of the
syringe body 178. The syringe body 178 and attached disposable
bladder 192 form the single-use disposable portions of the dual
diaphragm system 174 of this embodiment. The disposable bladder 192
may be co-injection molded to the open proximal end 182 of the
syringe body 178. As shown in FIGS. 46B-46C, as the fluid
displacement actuator 176 is pressurized, the disposable bladder
192 is driven by the reusable bladder 190 to alternately fill the
syringe body 178 with fluid and dispense fluid therefrom.
[0177] The numerous foregoing shapes of the bladder 1140 provide
various embodiments with different characteristics in the way the
material of the bladder 1140 is distributed to the interior wall 36
of the cylindrical body 30 during operation of the bladder syringe
20 with the fluid injector 12. The provision of more material in
the center of the membrane portion 1146 slows the release of the
bladder 1140 to the interior wall 36 of the cylindrical body 30
during withdrawal operation of the plunger element 50 in the
bladder syringe 20, as is provided by one or more of the
embodiments of the bladder 1140 discussed previously. The provision
of more central material generally reduces stress and strain in the
bladder 1140 during elongation, up to a point where the extra
material becomes too thick to expand/elongate easily. In
particular, adding curvature or convolutes C to the membrane
portion 1146, such as the embodiment shown in FIGS. 12-13, as an
example, reduces stress and strain in the bladder 1140 during
elongation.
[0178] Suitable materials for the bladder 1140 include any material
that would permit a substantially maximum fill of the bladder 1140
and this entails an elongation of the bladder 1140 of between about
800-1800%. A low modulus (15-30 psi at 300% elongation) is also
desirable for filling of the bladder 1140 by reducing the amount of
vacuum required to expand the bladder 1140 during filling.
Thermoplastic Elastomer (TPE) is one suitable and preferred choice
for the bladder 1140. This material can be clear or translucent,
can have an elongation of over about 1400% with a low
modulus/durometer, and can be injection molded. Thermoplastic
elastomer (SBS rubber in olefinic matrix) has been demonstrated to
work well for the bladder 1140, has successfully reached an 1800%
elongation, has a low modulus/durometer, and can be injection
molded. Silicone, urethane, and polyisoprene (natural or synthetic)
are also suitable choices of materials for the bladder 1140. A
material with clarity for air bubble detection is also desirable
and this requirement is met by the foregoing materials. Further,
while mentioned in connection with certain embodiments, it is also
possible within the teachings of this disclosure to eliminate the
use of the retainer ring 140 and have the bladder 1140 co-injection
molded with the cap body 104, with the cap body 104 and bladder
1140 being formed of different materials.
[0179] It is desirable in accordance with this disclosure to
co-injection mold the bladder 1140 to the cap body 104 of the cap
102, which would eliminate the need for the retainer ring 140.
Typically, the cap body 104 of the cap 102 is molded from a rigid
thermoplastic material like polyester and, without removing the cap
body 104 from the molding tool, the bladder 1140 may be over-molded
to the cap body 104. As discussed in the foregoing, the bladder
1140 may be made of soft, highly elastic material, such as TPE,
that is molded directly onto the cap body 104. The formed cap body
104 with attached bladder 1140 is ejected from the molding tool as
one component with no further assembly required. In the foregoing
process, the TPE (or any bladder material described herein) is
inhibited from forming a chemical bond with the interior of the cap
body 104 by providing suitable surface texturing in the interior
cavity 106, by appropriate material selection for the bladder 1140
and the cap body 104, and/or by applying anti-bonding agents
between the cap body 104 and the bladder 1140; typically only
vacuum pressure is available according to most embodiments
described herein to "pull" the bladder 1140 outward from the cap
body 104 and fill the bladder syringe 20 with fluid. Molding the
bladder 1140 with the cap body 104 provides benefits of low
manufacturing cost and lower particulate formulation, and
eliminates the need to manually assemble the bladder 1140 to the
cap body 104. Additionally, the sterilization cycle time may be
reduced. Nonetheless, this disclosure also includes the option of
sterile molding of the cap body 104 separate from the bladder 1140,
which allows greater flexibility in the design and shape of the
bladder 1140 as the bladder 1140 no longer needs to follow the
shape of the cap body 104, and this variation includes use of the
retainer ring 140. Furthermore, the bladder 1140 may be over-molded
onto the retainer ring 140 which is then inserted into the interior
cavity 106 of the cap body 104 of the cap 102, (see the arrangement
shown in FIGS. 13A-13B as an example). The retainer ring 140
provides a rigid frame to support the bladder 1140 and can isolate
the bladder 1140 from assembly torque during installation of the
cap-bladder assembly 100 on the cylindrical body 30. In yet a
further molding method, the cap body 104 and bladder 1140 may be
co-injection molded and use still a retainer ring 140 to support
the bladder 1140 in the interior cavity 106 of the cap body 104 of
the cap-bladder assembly 100.
[0180] As an alternative in the foregoing over-molding process, as
shown in FIG. 47A, the bladder 1140 may be co-injection molded with
a thin inner liner 194 that fits within a reusable cap body 104
that cooperates with the cylindrical body 30 in the manner
described previously, and eliminates the need for the retainer ring
140. Thus, in this variation, the bladder 1140 is over-molded to
the inner liner 194, which may be made of polypropylene or any
other of the plastic materials detailed previously in connection
with the cap body 104. Again, the bladder 1140 is prevented from
forming a chemical bond with the interior of the inner liner 194.
In this embodiment, the cap body 104 comprises a discharge conduit
110 and the inner liner 194 also includes a discharge conduit 196
that fits within the discharge conduit 110. In FIG. 47A, the inner
liner 194 has an exterior circumferential rim 424 that is molded to
an exterior circumferential rim 1264 of the bladder 1140.
Alternatively, the circumferential rims 424, 1264 may be secured by
other means such as ultrasonic welding, adhesive, and like joining
methods. The exterior rim 1264 on the bladder 1140 comprises a
depending rib 1266 adapted for providing a sealing engagement with
the distal end or rim of the cylindrical body 30 in an embodiment
of the bladder syringe 20 shown in FIGS. 71A-71C described
herein.
[0181] While in FIG. 47A, the bladder 1140 is shown connected to
the open end of the inner liner 194, the bladder 1140 may be molded
to the inner liner 194 so as to wrap around the exterior of the
inner liner 194 as shown in FIG. 47B and, thereby, may be able to
form a surface seal 198 against the interior wall of the cap body
104 in the interior cavity 106 thereof. The inner liner 194 may be
fitted into the interior cavity 106 of the cap body 104 and held in
the interior cavity 106 by a suitable friction fit or snap fit
connection, or a mechanical connection. The bladder 1140 provides
the surface seal 198 between the interior cavity 106 of the cap
body 104 and the inner liner 194. The cap body 104 may further have
a cylindrical section that extends beyond the bladder/liner
combination that mechanically connects to the cylindrical body 30
and does not require a seal.
[0182] As a further alternative, as shown in FIG. 47C, the reusable
cap 102 may have a cap body 104 with a co-injection molded bladder
1140, with the membrane portion 1146 having a central well portion
1268 surrounded circumferentially by a circumferential region 1270,
which may be tapered as illustrated. As shown in FIG. 47B, the
distal side 1150 of the membrane portion 1146 generally conforms to
the internal shape of the interior cavity 106 of the cap body 104
and the opposing proximal side 1152, including the central well
portion 1268 and surrounding tapered area or region 1270, defines a
profile or shape that matches the profile of the distal portion 52
of the plunger element 50 as shown in FIG. 47C. Additionally, in
FIG. 47C, an outer circumferential rim or flange 1272 of the
bladder 1140 comprises a pair of circumferential ribs 1274, 1276
and an outer circumferential rim or flange 1278 of the cap body 104
comprises a pair of depending circumferential ribs 1280, 1282 that
are adapted to engage the upstanding ribs 1274, 1276, respectively,
during the co-injection molding process. As an alternative, the
cooperating ribs 1274, 1280 and 1276, 1282 may be joined by other
bonding methods such as ultrasonic welding, laser welding, adhesive
bonding, and like techniques.
[0183] In FIG. 47D, the bladder 1140 is provided with a flexible
bag-type membrane body that is co-injection molded with a rigid
discharge conduit 196 that may seat within the discharge conduit
110 on the cap body 104 of the cap 102, as schematically
illustrated in this figure which provides just the schematic
details of the bladder syringe 20.
[0184] Referring to FIGS. 47E-47F, when over-molding the bladder
1140 to the cap body 104 of the cap 102, as in the embodiment shown
in FIG. 47C, as an example, it is desirable prevent the membrane
portion 1146 from sticking to the interior of the cap body 104.
Thus, when a vacuum is generated in the cylindrical body 30 by
action of the plunger element 50, the bladder 1140 may be easily
pulled from the interior cavity 106 of the cap body 104 of the cap
102. However, it is also advantageous to have the outer
circumferential rim or flange 1272 of the bladder 1140 fixed to the
outer circumferential rim or flange 1278 of the cap body 104 so
that the bladder 1140 does not separate from the cap 102 during
shipping and handling. Also, it is also desirable to have the outer
circumferential rim or flange 1272 of the bladder 1140 in solid
contact or fixed with the outer circumferential rim or flange 1278
of the cap body 104 to prevent leaking during removal of the cap
102 from the cylindrical body 30 when fluid is present in the
bladder 1140. In FIGS. 47E-47F and embodiment is shown that
illustrates that during the over-molding of the bladder 1140,
bladder material may flow from below the cap body 104 and into a
recess 1292 in the outer circumferential rim or flange 1278 of the
cap body 104 through through-holes 1294 defined in the outer
circumferential rim or flange 1278, and this bladder material may
reconnect with itself above the outer circumferential rim or flange
1278 in the recess 1292. The bladder 1140 is then locked
mechanically in the regions between the through-holes 1294, with
the added security of a chemical bond as the bladder 1140
reconnects with itself. Additional holes 1296 are shown in the
bladder 1140 in FIG. 47E to illustrate where the material of the
cap body 104 resides after the over-molding of the bladder 1140 to
the cap body 104. FIG. 47E is an exploded view showing the bladder
1140 and the cap body 104 after over-molding so that manufacturing
details, such as the through-holes 1294 and the additional holes
1296 may be viewed. The size, shape, and number of through holes
1294 and the recess 1292 may vary as needed to strike a balance
between bladder retention and injection mold tooling complexity and
part mold-ability.
[0185] In yet another variation, the bladder 1140 may be made of
soft, highly elastic material, such as TPE, that is molded directly
onto the retainer ring 140 that is assembled into the cap body 104
in the manner described previously in connection with FIGS.
13A-13B. The retainer ring 140 provides a rigid frame to support
the bladder 1140 and can isolate the bladder 1140 from assembly
torque during installation of the cap body 104 on the cylindrical
body 30. The bladder 1140 and cap body 104 may be made of any of
the materials detailed previously in this disclosure and the
bladder 1140 is not limited to TPE as a choice of material. In this
variation, it may also be possible to mold the retainer ring 140
and cap body 104 together as one component, wherein the retainer
ring 140 and cap body 104 are connected together by, for example, a
living hinge. The bladder 1140 may then be co-injection molded to
the retainer ring 140 and all that is then required is to fold the
retainer ring 140 into the cap body 104 (or vice versa) to complete
the assembly of the bladder 1140 to the cap body 104. In the
foregoing, a dust cap may also be attached with a living hinge to
the cap body 104 so that the dust cap may flip open or closed on
the discharge conduit 110 and end connector 112 like a flip top
bottle lid, or the dust cap may be molded to be tethered to the
discharge conduit 110 of the cap body 104. Several embodiments of a
dust cap for the cap body 104 are described herein and may have the
foregoing living hinge or tethered connections to the cap body
104.
[0186] Referring further to FIG. 48, it is desirable to detect the
presence of the cap-bladder assembly 100 on the cylindrical body 30
and/or the bladder 1140 in the cap body 104 of the assembly 100.
For this purpose, as first shown in FIG. 48, a sensor 204 (in any
of the forms discussed herein) may be provided coaxially in the
plunger element 50 to determine whether the cap body 104 and/or
bladder 1140 is present on the cylindrical body 30. In the
embodiment of the plunger element 50 discussed in connection with
FIG. 10A, the sensor 204 (in any of the forms discussed herein) may
be disposed as part of the flat nub or ledge 139 or, alternatively,
be disposed in the distal circular recess 138 (as shown in FIG.
10A) that surrounds the flat nub or ledge 139. In FIG. 48, and FIG.
49 discussed herein, the cap-bladder assembly 100, cylindrical body
30, and plunger element 50 are shown schematically to illustrate
various sensor arrangements and details of the cap-bladder assembly
100, cylindrical body 30, and plunger element 50 are found in the
foregoing. The coaxial sensor 204 may be an optical sensor that
detects presence of the bladder 1140 and/or the cap body 104 on the
cylindrical body 30 through the bladder 1140. In this embodiment,
light is emitted from the optical sensor 204 and reflected back to
the sensor 204 when the bladder 1140 is in place. The optical
sensor 204 also may detect rupture of the bladder 1140 as fluid
between the interface of plunger element 50 and the bladder 1140
causes a change in optical properties that is sensed by the optical
sensor 204 (e.g., in the presence of air, no light is reflected
back but in the presence of a liquid, light is reflected back). In
addition to the foregoing, all or part of the interior wall 36 of
the cylindrical body 30 and/or the plunger element 50 may be coated
with a litmus coating that changes color in the presence of a
liquid. In this variation, the optical sensor 204 may be adapted to
identify the color change and send a signal indicating the presence
of liquid in the cylindrical body 30 distal of the plunger element
50. As a further alternative, the membrane portion 1146 of the
bladder 1140 and/or interior wall 36 of the cylindrical body 30 or
the plunger element 50 may be coated with a color-changing chemical
in the presence of liquid. If the bladder 1140 should leak or
rupture, the color-changing chemical, similar to a dye-pack,
changes color and this change is registered by the optical sensor
204. The material comprising the bladder 1140 may also incorporate
the color-changing dye chemical during manufacturing. Any of the
optically determined sensed conditions may also be detected by an
external sensing device, such as external sensor device 260
described herein in connection with FIGS. 57-58. Moreover, the
coating on the interior wall 36 of the cylindrical body 30, plunger
element 50, or the bladder 1140 may be a chemical substance that
generates gas bubbles, such as oxygen bubbles, in the presence of
liquid that would change the optical properties in the cylindrical
body 30 sufficiently to enable the optical sensor 204 to register
and send a signal to the controller of the fluid injector 12. The
optical sensor 204 (or external sensor device 260) may be a bubble
detector as is known the medical field for detecting air bubbles in
tubing.
[0187] In FIG. 48, the aforementioned full/partial litmus coating
is represented as a litmus strip 205. Moreover, in the event of
failure of the bladder 1140, leaking fluid will typically leak
downward to the plunger element 50 and into the interior of the
plunger element 50 via interconnecting passages 64, 66 to reach the
check valves 82 (see FIGS. 1B and 4), and through the porous plug
134 (if present). The check valves 82 may be configured to create a
low pressure drop so that, if the bladder 1140 breaks or leaks, the
path of least resistance is through the check valves 82 and out the
plunger element 50 into the fluid injector 12. The presence of
fluid in the fluid injector 12 will be immediately noticeable to
attendant medical personnel, and a fluid sensor may also be located
in the fluid injector housing 18 to detect fluid leakage into the
housing 18.
[0188] As an alternative, the sensor 204 may be an ultrasonic
sensor that detects the presence of the cap body 104 on the
cylindrical body 30 and/or detects the presence of the bladder 1140
in the cap-bladder assembly 100. The ultrasonic sensor 204 may
further be used to detect whether there is proper contact between
the membrane portion 1146 of the bladder 1140 and the plunger
element 50 during filling. In this embodiment, sound waves are
emitted from the ultrasonic sensor 204 and reflected back to the
sensor 204 when the cap body 104 is in place. The ultrasonic sensor
204 also may detect rupture of the bladder 1140 as fluid between
the interface of plunger element 50 and the bladder 1140 causes a
change in medium properties (air/vacuum to liquid) between the
plunger element 50 and bladder 1140 that is sensed by the
ultrasonic sensor 204. Moreover, the ultrasonic sensor 204 may also
be used to track the position of the bladder 1140 as it is being
filled.
[0189] In addition to the foregoing, the sensor 204 in FIG. 48 may
also be a mechanical type sensor in which the body of the sensor
204 is spring-loaded to extend distally a short distance from the
plunger element 50 to the vicinity of the bladder 1140 when the cap
body 104 is attached to the cylindrical body 30. Accordingly, as
the cap-bladder assembly 100 is placed on the cylindrical body 30,
the bladder 1140 makes physical contact with the mechanical sensor
204 and depresses the sensor 204 which provides a signal that the
cap-bladder assembly 100 is present. Thus, the bladder 1140
actuates the mechanical sensor 204 during attachment of the
cap-bladder assembly 100 and/or during filling of the bladder 1140
when the bladder 1140 extends and makes contact with the plunger
element 50. In this embodiment, the mechanical sensor 204 may
further be able to determine volume or pressure in the extended
bladder 1140 when filled by the degree of physical contact between
the bladder 1140 and the mechanical sensor 204. The mechanical
sensor 204 desirably has a large surface area head, such as by
forming a substantial portion of the distal portion 52 of the
plunger element 50, and is backed by a spring with a low spring
constant to avoid damage to the bladder 1140 during use. Such a
mechanical sensor 204 with a large surface head may be found in
U.S. Pat. No. 7,666,169 to Cowan et al. and is incorporated into a
plunger element for a syringe; this patent is hereby incorporated
herein by reference for this purpose. As an alternative, the
plunger element 50 may be spring-loaded to operate as part of the
mechanical sensor 204.
[0190] Furthermore, fluid dots (not shown) may be provided on the
cylindrical body 30 as an indicator of fluid within the bladder
syringe 20. Such fluid dots are well-known in the medical field,
but because the cylindrical body 30 is intended to be reusable, in
the present embodiment, the fluid dots may be darkened or black
fluid dots when viewed in the presence of a liquid and would be
immediately viewable by attendant medical personnel even from a
distance.
[0191] Further, FIG. 49 illustrates a variation of the bladder
syringe 20 shown in FIG. 48, wherein a vacuum tube 206 is connected
to an external vacuum source (not shown) and to a through-port 208
in the plunger element 50. This external vacuum source (not shown)
may be used to fill the bladder 1140. As an example, in use, an
operator can position the plunger element 50 at any desired axial
position in the bore 37 of the cylindrical body 30 and apply a
vacuum to draw the bladder 1140, instead of using the seal of the
plunger element 50 with the interior wall 36 of the cylindrical
body 30 to create the vacuum.
[0192] As a further alternative, the sensor 204 in FIGS. 48-49 may
further include, or alternatively be provided as, a fluid sensor
204 to detect any leakage of fluid from the bladder 1140 when
filled with fluid, or a failure of the bladder 1140 such as a
complete rupture thereof. Additionally, the coaxial sensor 204 in
FIG. 49 may further include, or alternatively be provided as, a
pressure sensor 204 that, in addition to detecting the presence of
the bladder 1140, may be used to detect a leak in the bladder 1140
such as a partial or complete rupture thereof. The change in
pressure in the cylindrical body 30 and physical separation of the
bladder 1140 from the plunger element 50 is registered as a
pressure change in the cylindrical body 30 by the sensor 204. The
fluid sensor 204 may also be adapted to detect a trace chemical
incorporated into the membrane portion 1146 of the bladder 1140
and/or on the interior wall 36 of the cylindrical body 30 that is
activated in the presence of a liquid. In the case of a leak or
rupture of the bladder 1140, the chemical may be activated and
sensed by the fluid sensor 204 which provides a signal to the
controller of the fluid injector 12 regarding a leakage/failure
situation involving the bladder 1140.
[0193] Referring to FIGS. 50-51, a pressure sensor 210 may be
provided in the plunger element 50. In FIGS. 50-51, the cap-bladder
assembly 100, cylindrical body 30, and plunger element 50 are shown
schematically to illustrate various sensor arrangements and details
of the cap-bladder assembly 100, cylindrical body 30, and plunger
element 50 are found in the foregoing. In one embodiment shown in
FIG. 50, the pressure sensor 210 is a pressure transducer that
monitors or indicates vacuum pressure in the cylindrical body 30
distal or forward of the plunger element 50 during filling of the
bladder syringe 20 and communicates a signal to the controller
associated with the fluid injector 12. In another embodiment shown
in FIG. 51, the plunger element 50 may further include a vacuum
popette 212 that extends to the outer surface of the plunger
element 50 and actuates or moves when vacuum pressure is present in
the cylindrical body 30 distal or forward of the plunger element 50
during filling of the bladder syringe 20. When this position change
occurs, a coaxial sensor 214 disposed in the plunger element 50
registers or senses movement of the popette 212. For example, the
sensor 214 may be embodied as an optical sensor that measures a
change in position of the popette 212, which indicates the presence
and level of vacuum pressure. The pressure sensor 210 may further
make physical contact with the bladder 1140, as shown in FIG. 50,
and the physical contact may register the pressure in the bladder
1140 when air is expelled and no differential pressure is
present.
[0194] Referring to FIG. 52, a contact impedance measurement system
216 may be associated with the plunger element 50 to determine the
presence of the bladder 1140 and/or whether there is a leak in the
bladder 1140 of the cap-bladder assembly 100, or a complete rupture
of the bladder 1140. Such a system 216 may include placing
conductive elements or strips 218 on the distal portion 52 of the
plunger element 50 which can detect the presence of liquid on the
distal portion 52 which completes an electrical circuit between the
conductive elements or strips or flex circuits 218 and, thus, a
leak or rupture of the bladder 1140. Lead wires 220 may be routed
through the plunger element 50 to connect to a controller
associated with the fluid injector 12 so that leakage/rupture of
the bladder 1140 may be detected by the controller and further
operations involving the installed cap-bladder assembly 100 may be
halted for replacement with a new cap-bladder assembly 100. The
conductive elements 218 are adapted to detect the sharp rise in
conductivity or capacitance associated with fluid from a leaking or
burst bladder 1140. In another embodiment, the conductive elements
or strips 218 may alternatively be electrical resistance sensors
that measure electrical resistance of the bladder 1140. Embedded
conductive particles P, as shown in FIG. 52, or a thin, easily
breakable ductile wire (not shown) may be provided within the
membrane portion 1146 of the bladder 1140 during manufacturing that
create varying resistance readings depending on the amount of
stretch as the particle density decreases with increased stretch.
The electrical resistance elements or strips 218 detect the varying
resistance when the bladder 1140 is expanded or contracted. The
electrical resistance elements or strips 218 may be used to
determine several pieces of information and communicate the same to
the controller associated with the fluid injector 12. This
information may include, for example, the amount of expansion or
stretch of the bladder 1140 and, thus, fluid volume, the presence
of the bladder 1140, and/or vacuum pressure within the cylindrical
body 30 forward or distal of the plunger element 50. Furthermore,
in case of a rupture of the bladder 1140, the electrical resistance
element or strips 218 detect the sharp change in conductivity or
impedence associated with the stretching of the conductive
particles or conductive wire or the breakage of the conductive wire
and register the same as a failure of the bladder 1140.
[0195] While the foregoing discussion provides the conductive
elements, strips, or flex circuits 218 in association with the
plunger element 50, these may be provided on the interior wall 36
of the cylindrical body 30 and which are embedded in the interior
wall 36 to be flush. A suitable electrical lead connection may pass
through the cylindrical body 30 to connect to the controller of the
fluid injector 12. Furthermore, a radio-frequency identification
(RFID) tag may be embedded into the material forming the bladder
1140 during manufacturing and, in the case of a leak or rupture of
the bladder 1140, the RFID tag may activate or deactivate to
indicate to the controller of the fluid injector 12 alerting to the
leak/rupture.
[0196] Referring to FIG. 53, a sensing arrangement is provided to
mechanically sense the presence of the cap-bladder assembly 100 on
the cylindrical body 30. In this embodiment, a long pin 222 is
supported between the distal and proximal ends 32, 34 of the
cylindrical body 30. A sensor base 224 is attached to the proximal
end 34 of the cylindrical body 30 and supports a mechanical sensor
226 that detects movement of the pin 222. The pin 222 may be
spring-biased toward the distal end 32 of the cylindrical body 30
by a spring 228 as shown. As the cap-bladder assembly 100 is
attached to the distal end 32 of the cylindrical body 30, the pin
222 is depressed against the mechanical sensor 226 by the cap body
104 of the cap-bladder assembly 100. The mechanical sensor 226
registers the presence of the cap-bladder assembly 100 and sends a
signal to the controller associated with the fluid injector 12. In
FIG. 53, the cap-bladder assembly 100 and cylindrical body 30 are
shown schematically to illustrate various sensor arrangements and
details of the cap-bladder assembly 100, cylindrical body 30, and
plunger element 50 are found in the foregoing.
[0197] Referring to FIG. 54, the bladder syringe 20 may have an
external light pipe assembly 230 for detecting the presence of a
cap-bladder assembly 100. The light pipe assembly 230 includes a
light housing 232 having a distal end 234 and a proximal end 236
and carrying two light pipes 238, 240 extending between the distal
and proximal ends 234, 236. The light housing 232 is desirably
molded as part of the cylindrical body 30 and extends axially along
the cylindrical body 30, but also may be separate from the
cylindrical body 30 and secured thereto by any desirable mechanical
arrangement. The light housing 232 carries two light pipes 238, 240
to carry light from a light emitter 242 and to a light receiver
244, respectively. The cap body 104 includes a reflector element
246 that extends radially outward from the cap body 104 to
interface and connect with the distal end 234 of the light housing
232. The reflector element 246 has a first reflector 248, typically
a 45.degree. reflector, which directs the light beam from the light
emitter 242 and is carried by the light pipe 238 across a gap 250
to a second reflector 252, typically a 45.degree.reflector, which
directs the return light beam to the opposing light pipe 240 which
carries the light beam down the length of the light housing 232 to
the light receiver 244. The presence of the cap body 104 completes
the light circuit and this information may be utilized by the
controller associated with fluid injector 12 to confirm the
presence and proper installation of the cap-bladder assembly 100 on
the bladder syringe 20. Proper installation of the cap-bladder
assembly 100 on the bladder syringe 20 could also be accomplished
by providing the light pipe assembly 230 in such a manner that
interruption of a light beam by the cap body 104 would indicate the
presence and proper installation of the cap-bladder assembly 100 on
the bladder syringe 20. FIG. 55 shows a variation of the foregoing
light pipe assembly 230 incorporated integrally into the sidewall
of the cylindrical body 30 and reference may be made to FIG. 54 for
the details of the light pipe assembly 230. In FIG. 55, the
cap-bladder assembly 100 and cylindrical body 30 are shown
schematically to illustrate various sensor arrangements and details
of the cap-bladder assembly 100, cylindrical body 30, and plunger
element 50 are found in the foregoing.
[0198] Referring to FIG. 56, an optical sensor array 254 comprising
a plurality of optical sensors 256 may be provided to read grooves
258 in the cap body 104 of the cap-bladder assembly 100. In this
embodiment, the optical sensor array 254 may sense one or both of
the size of the cap body 104 and presence of the cap-bladder
assembly 100 on the cylindrical body 30 and sends signal(s) to the
controller associated with the fluid injector 12 to convey this
information to the controller, and a similar system for size
sensing of a syringe may be found in U.S. Pat. No. 7,666,169 to
Cowan et al., previously incorporated herein by reference. In FIG.
56, the cap-bladder assembly 100 and cylindrical body 30 are shown
schematically to illustrate various sensor arrangements and details
of the cap-bladder assembly 100, cylindrical body 30, and plunger
element 50 are found in the foregoing.
[0199] Referring to FIGS. 57-58, a sensor device 260 may be located
external to the cylindrical body 30 to detect the presence and
position of the bladder 1140 and/or to determine the volume of
fluid present in the bladder 1140, or other properties associated
with the bladder 1140. The external sensor device 260 may be an
optical sensor device 260 that may be used to optically determine
the presence and position of the bladder 1140 and/or to determine
the volume of fluid present in the bladder 1140. The external
sensor device 260 may also be used to sense a leak/rupture of the
bladder 1140 as the position of the bladder 1140 changes abruptly
when there is a complete rupture and not in sync with movement of
the plunger element 50. The external sensor device 260 may also be
adapted to read volume or other indicia markings 1262 on the
bladder 1140, such as a bar code. The external optical sensor
device 260 may alternatively be an ultrasound sensor device 260
that is used to check for liquid and air in the bladder 1140. As
described previously, lines, grooves, or markings or other indicia
1100 may be provided in the top or distal side 1150 of the membrane
portion 1146 of the bladder 1140 which provide a visual indication
to attendant medical personnel of the bladder 1140 being filled
with fluid and in a stretched state, and these lines, grooves, or
markings 1100 may likewise be read by the external optical sensor
device 260 as the bladder 1140 is stretched during filling. In case
of failure of the bladder 1140, the external optical sensor device
260 would likewise register the failure. The markings 1100 may be
used additionally for decorative purposes or to identify the source
or origin of the cap-bladder assembly 100, and may further be a bar
code.
[0200] Referring to FIGS. 59A-59B, an embodiment is shown useful
for visually determining when there is fluid in the filled bladder
1140. In FIGS. 59A-59B, the membrane portion 1146 of the bladder
1140 is provided with fibers 264 on the on the top or distal side
1150 which float in the presence of fluid, as shown in FIG. 59A. If
no fluid is present, the fibers curl over or lie flat against the
top or distal side 1150 of the membrane portion 1146 of the bladder
1140, as shown in FIG. 59B. One or more of the sensors described
previously, such as the optical sensor 204 and the external optical
sensor device 260 may be used as an optical detector to sense the
presence of the fibers 264. In FIGS. 59A-59B, the cap-bladder
assembly 100, cylindrical body 30, and plunger element 50 are shown
schematically to illustrate various sensor arrangements and details
of the cap-bladder assembly 100, cylindrical body 30, and plunger
element 50 are found in the foregoing.
[0201] Referring to FIGS. 60A-60B, a floating actuator 266 may be
provided inside the cap body 104 which only allows fluid injection
if fluid is present in the bladder 1140. In this embodiment, a
check valve 268 may be provided in the discharge conduit 110 of the
cap body 104 that is normally closed to fluid flow outward from the
bladder syringe 20. The outlet check valve 268 permits fluid to
enter the bladder syringe 20. The outlet check valve 268 is
overridden by the floating actuator 266. The floating actuator 266
comes into contact with the outlet check valve 268 to override the
check valve when the bladder 1140 is filled with fluid, as shown in
FIG. 60B. Otherwise, the outlet check valve 268 remains closed and
prevents the ejection of fluid, either liquid or air, from the
bladder syringe 20. In FIGS. 60A-60B, the cap-bladder assembly 100,
cylindrical body 30, and plunger element 50 are shown schematically
to illustrate various sensor arrangements and details of the
cap-bladder assembly 100, cylindrical body 30, and plunger element
50 are found in the foregoing.
[0202] Referring to FIG. 61, the bladder syringe 20 is illustrated
with the disposable fluid path or set 200, discussed previously,
which is connected to the threaded end connector 112 at the end of
the discharge conduit 110 of the cap body 104. The disposable fluid
set 200 may include tubing 201 for delivering fluid to a patient
and this tubing 201 may include additional fluid carrying
arrangements (not shown) for placing the bladder syringe 20 in
fluid communication with one or more bottles or bags containing
desired injection fluid. With respect to FIG. 61, it has been
observed that variations in the volume of entrapped air between the
plunger element 50 and the bladder 1140 may cause inaccuracies in
fluid delivery. When air is present between the plunger element 50
and the bladder 1140, the initial fluid delivery lags while this
air is compressed. After the air is compressed, the volume flow
rate behaves as it would in a positive displacement syringe (e.g.,
a typical syringe used in power fluid injectors). To adjust for the
foregoing inaccuracies, as shown in FIG. 61, the bladder syringe 20
may be mated with two pressure transducers 270, 272, for example,
by associating the pressure transducers 270, 272 with the discharge
conduit 110 of the cap body 104. In particular, the bladder syringe
20 is configured to have the cap-bladder assembly 100 mated with
two pressure transducer sensing ports 274, 276 placed on a membrane
278 provided in the discharge conduit 110 of the cap body 104. The
pressure transducer sensing ports 274, 276 accept and support the
pressure transducers 270, 272. During an injection, while fluid is
flowing from the bladder syringe 20 through the tubing 201, there
is a pressure difference between the two transducers 270, 272.
Using the pressure difference between the transducers 270, 272, the
volume flow rate can be calculated. The controller of the fluid
injector 12 compares the calculated flow rate with the programmed
flow rate and varies the speed of the piston element 14 as needed
to achieve the programmed flow rate and volume delivery. This
control method minimizes the effects of the air trapped between the
bladder 1140 and plunger element 50 since the fluid injector 12
compensates for lower flows (e.g., while the air is being
compressed) by increasing the speed of the plunger element 50
interfaced with the piston element 14. The foregoing pressure
sensing arrangement using two pressure transducers 270, 272 may be
utilized with any syringe having a distal discharge conduit similar
to the discharge conduit 110 of the cap body 104 and is not limited
to use with bladder syringe 20. Using the arrangement in FIG. 61,
the rate and time required to reach a desired pressure can be
tracked as can pressure differential over time to determine flow
rate.
[0203] In FIG. 61, the membrane 278 could also be adapted to
provide a known restriction in the outlet path of the bladder
syringe 20, such that a known pressure would be required to
overcome the restriction. If the fluid injector 12 applied a
Fill/Prime sequence to fill the bladder syringe 20 with fluid, the
pressure sensing arrangement shown in FIG. 61 may be used to
measure the pressure in the discharge conduit 110 of the cap body
104, and the controller associated with the fluid injector 12 can
track the rate and time it takes to achieve a desired pressure. If
the bladder syringe 20 is filled with a liquid (e.g., an
incompressible fluid), the rate and time needed to arrive at the
desired pressure should be short and close to instantaneous. If air
(e.g., a compressible fluid) is present, there will be a gradual
ramp-up in pressure. The controller associated with the fluid
injector 12 can track rate and time required to reach the desired
pressure and can interpolate if there is air in the bladder syringe
20.
[0204] Referring to FIGS. 62A-62B, the interior wall 36 of the
cylindrical body 30 and/or the interior cavity 106 of the cap body
104 of the cap 102 in the cap-bladder assembly 102 may be frosted
as represented by the alternating shaded lines or regions 298 in
FIG. 62A which, when exposed to liquid, becomes clear as
represented in FIG. 62B. The frosting may be fine surface texture
on the fluid side of the cylindrical body 30 and/or cap body 104.
This fine surface texture would be such that it affects light
transmission by diffusing light in the presence of air and would
not affect light transmission in the presence of a liquid as the
liquid fills-in the fine surface texture with liquid and becomes
more transparent. The frosted fine surface texturing may also be
provided on the distal portion 52 of the plunger element 50 as
well. The frosted fine surface texturing may also be provided on
any internal surface of a syringe and/or plunger in accordance with
this disclosure such as a syringe used in the fluid injector 12
shown in FIG. 7 described previously, or any fluid conveying device
such as a pump body, tubing set, or valve body to indicate when
liquid is present on the textured surface on the body.
[0205] Referring to FIGS. 63A-63B, a sensor array 300 may be
provided in the bore of the cylindrical body 30 and on the interior
wall 36 thereof in this embodiment of the bladder syringe 20. The
sensor array 300 is desirably embedded into the interior wall 36 of
the cylindrical body 30. The sensor array 300 may be a capacitive
sensor array 300 for determining the position of the bladder 1140
within the cylindrical body 30 during filling and, hence, for
determining volume of fluid present in the bladder 1140. The sensor
array 300 may further be adapted for linear resistive and/or
impedance measurement of the position of the bladder 1140 within
the cylindrical body 30 during filling and, hence, for determining
volume of fluid present in the bladder 1140. Moreover, the sensor
array 300 may further be adapted for capacitive or radio-frequency
(RF) impedance measurement of the position of the bladder 1140
within the cylindrical body 30 during filling and, hence, for
determining volume of fluid present in the bladder 1140.
Furthermore, the sensor array 300 may further be adapted for
ultrasonic measurement of the position of the bladder 1140 within
the cylindrical body 30 during filling and, hence, for determining
volume of fluid present in the bladder 1140. The cap 102 of the
cap-bladder assembly 100 is omitted in FIGS. 63A-63B as are
specific details of the connection/interaction of the cap-bladder
assembly 100 with the cylindrical body 30 for simplicity. The
positional and/or volume information regarding the bladder 1140 may
be communicated by the sensor array 300 to the controller of the
fluid injector 12 for controlling operation of the fluid injector
12. As another alternative, the lines, grooves, or markings 1100 on
the bladder 1140, as shown in FIG. 12A discussed previously, or
indicia markings 262 discussed previously in connection with FIG.
58 may comprise one part of a radio-frequency (RF) or capacitive
circuit, and the second part of this circuit may be part of the
sensor array 300, and a sensed change of impedence or capacitance
in this circuit is indicative of leakage or failure of the bladder
1140. As a further alternative, the lines, grooves, or markings
1100 on the bladder 1140, as shown in FIG. 12A discussed
previously, or indicia markings 262 discussed previously in
connection with FIG. 58 may be conductive and, as the bladder 1140
expands during filling, reach the sensor array 300, and the sensor
array 300 detects resistance changes along the bladder 1140; a
sensed rapid change in this resistance is indicative of leakage or
failure of the bladder 1140.
[0206] Referring to FIG. 64, fluid detection for fluid in the cap
102 of the cap-bladder assembly 100 may also be provided by devices
associated with the cap body 104. In FIG. 64, two (2) electrical
leads 302, 304 may be provided in the cap body 104 to read the
electrical resistance between the leads. If air alone is present,
the resistance is infinite and in the presence of a conductive
liquid the, resistance drops. This change in resistance is
registered by the controller of the fluid injector 12 and indicates
that liquid is present in the interior cavity of the cap body 104.
One or both of the electrical leads 302, 304 may alternatively be
an electrode and a second electrode may be formed by conductive
material placed on the interior wall 36 of the cylindrical body 30
and/or on the plunger element 50 and an amp meter is connected to
the electrodes operating at a low, patient-safe current. In the
case of a leak or failure of the bladder 1140, a current larger
than a threshold current indicates a leak or rupture of the bladder
1140.
[0207] Referring to FIGS. 65A-65C, another method of fluid
detection for fluid in the cap 102 of the cap-bladder assembly 100
comprises optical detection using a light pipe 306 that detects
light reflectance changes in the presence of fluid in the cap body
104 of the cap 102. The light pipe 306 conducts light from an
external light source, such as located in the housing 18 of the
fluid injector 12 and conducts the light to the cap body 104 where
the light enters into the cap body 104 at such an angle that the
light would be trapped in the light pipe 306 and reflected back to
the fluid injector 12 in the presence of air. In the presence of
air, as shown in FIG. 65B, the difference between the index of
refraction of air and the plastic cap body 104 and the exit angle
would be so high that the light would be internally reflected
inside the light pipe 306. When liquid is present, as shown in FIG.
65C, the index of refraction is closer to that of the plastic cap
body 104 and the light is able to escape, and there is no internal
reflection returning to the fluid injector 12. In FIGS. 65A-65B,
the cap-bladder assembly 100, cylindrical body 30, and plunger
element 50 are shown schematically to illustrate various sensor
arrangements and details of the cap-bladder assembly 100,
cylindrical body 30, and plunger element 50 are found in the
foregoing.
[0208] Referring to FIG. 66, another embodiment of the bladder
syringe 20 is shown that incorporates a plunger element 50 in which
a hollow cavity or well 308 is provided between the distal portion
52 and the proximal portion 54 of the plunger element 50. The
plunger well 308 is in fluid communication with the bore of the
cylindrical body 30 by a plurality of apertures 310 in the distal
portion 52 of the plunger element 50. In the event the bladder 1140
leaks or ruptures, fluid enters the plunger well 308 via the
apertures 310 and, for example, contacts a fluid sensor 312 in the
proximal portion 54 of the plunger element 50. The fluid sensor 312
may, for example, register fluid upon the completion of connection.
Such an electrical connection may result, for example, by providing
the conductive elements 218 described previously in the plunger
well 308. Fluid detection in the plunger well 308 using the fluid
sensor 312 may be accomplished by any of the foregoing described
techniques, such as optical, ultrasonic, electrical connectivity
completion, fluid sensor, etc. If desired, the proximal portion 54
of the plunger element 50 may be adapted for limited movement
relative to the distal portion 52, and this movement creates the
plunger well 308 and, further, causes a vacuum in the plunger well
308 that pulls in fluid into the plunger well 308. The plunger well
308 may contain an absorbent material 314 that is suitable to
disperse fluid and allow one or more sensors in the plunger well
308 to register the presence of fluid and a leak or rupture of the
bladder 1140.
[0209] In FIG. 67, another embodiment of the bladder syringe 20 is
shown that incorporates a flapper or duckbill valve 316 that is
attached to the cap 102 of the cap-bladder assembly 100. The
flapper or duckbill valve 316 is attached by one circumferential
connection 318 to the cap body 104 in the interior cavity 106
thereof and is adapted to mechanically release from the cap body
104 under the stress induced when the bladder 1140 ruptures. As
illustrated in FIG. 67, the flapper or duckbill valve 316 is
further connected by a second circumferential connection 320 to the
bladder 1140 so that when the bladder 1140 ruptures, the flapper or
duckbill valve 316 is released and halts any fluid flow from the
bladder syringe 20. The controller of the fluid injector 12
automatically experiences a sharp rise in back pressure and ceases
operation. Details of the cap-bladder assembly 100, cylindrical
body 30, and plunger element 50 are omitted in FIG. 67 and the
components are illustrated schematically only.
[0210] In the numerous embodiments of the bladder 1140 described
previously, the bladder 1140 is typically shown as a singular
membrane. However, as shown in FIG. 68, the bladder 1140 may
comprise a second safety liner 1141 either molded with the bladder
1140 or otherwise incorporated into the cap-bladder assembly 100 as
a safety liner in case of failure of the bladder 1140. The safety
liner 1141 may be made of latex and like materials. Moreover, in
the numerous embodiments of the bladder 1140 described previously,
the bladder 1140 is typically shown as part of the cap-bladder
assembly 100. However, as shown in FIGS. 69A-69B, the bladder 1140
may also be provided at other locations in the cylindrical body 30,
such as covering the proximal end 34 of the cylindrical body 30.
The plunger element 50 is operable as a conventional displacement
plunger like those used in conventional syringes and air in the
cylindrical body 30 distal or forward of the bladder 1140 is
exhausted therefrom via the discharge conduit 110 by forward or
distal movement of the plunger element 50. Reverse movement of the
plunger element 50 draws fluid into the syringe-type cylindrical
body 30 in this embodiment. The cap body 104 is integral with the
cylindrical body 30 in this embodiment.
[0211] Referring to FIGS. 70A-70B, an embodiment of the cap 102 of
the cap-bladder assembly 100 is shown having two (2) different
embodiments of high-crack pressure bi-directional check valves 322,
324 disposed to control fluid into and from the discharge conduit
110 and which provide resistance to facilitate purging of air from
behind the bladder 1140 as the plunger element 50 moves forward
without requiring a separate plug or blocking of the discharge
conduit 110. The check valves 322, 324 enable air to be purged from
the cap body 104 and reduce or eliminate the possibility of pulling
unwanted fluid (e.g., blood) into the cap body 104 and, further,
reduce the possibility of unintended discharge of fluid (e.g., a
gravity flow condition, etc.) from the cap body 104. In FIG. 70A,
the check valve 322 is a collapsible column that collapses at
predetermined or preset pressure to allow fluid to pass, and in
FIG. 70B the check valve 324 is conventional slit-type check valve.
A removable dust cap 326 is also shown in these figures which is
suitable for use in any of the embodiments of the cap 102 in this
disclosure.
[0212] Referring next to FIGS. 71A-71C, another bladder syringe 20
is shown that incorporates an alternative method for securing the
cap-bladder assembly 100 to the cylindrical body 30. In this
embodiment, the distal end 32 of the cylindrical body 30 comprises
an enlarged end flange 400 with a snap closure element 402 that
extends upward or distally from the end flange 400. The snap
closure element 402 has a barbed end 403. Additionally, the end
flange 400 has a distal rim 404 with inner and outer
circumferential walls 406, 408 that define an annular recess 410
therebetween. The inner circumferential wall 406 is slightly
shorter in height than the outer circumferential wall 408. A cap or
cover 412 is connected by a hinge 414 to the end flange 400 on the
opposite side from the snap closure element 402. The cap or cover
412 has an overall shape to accept the cap-bladder assembly 100
therein. The cap or cover 412 comprises an interior cavity 416 to
receive the cap-bladder assembly 100 and has a tubular end portion
418 that receives the discharge conduit 110 on the cap body 104 of
the cap 102. The cap or cover 412 further comprises a proximal rim
420 that is sized to fit over the distal rim 404 on the end flange
400 and, in particular, over and around the outer circumferential
wall 408 of the distal rim 404. The proximal rim 420 comprises an
attachment tab 422 for engagement by the snap closure element 402
to secure the cap or cover 412 to the end flange 400 during use of
the bladder syringe 20 in this embodiment.
[0213] In this embodiment, the cap-bladder assembly 100 is modified
to operate with the hinged cover 412 and distal rim 404 on the end
flange 400. The cap-bladder assembly 100 comprises a cap 102
wherein the cap body 104 and bladder 1140 are, desirably,
co-injection molded together, in a similar manner to the embodiment
shown and as described previously in connection with FIG. 47A
wherein the bladder 1140 was described as being co-injection molded
with the inner liner 194. The retainer ring 140 may be eliminated
in this embodiment. Further, the cap body 104 is formed without the
cylindrical portion 114 described previously. Accordingly, as shown
in detail in FIG. 71C, an exterior circumferential rim 424 of the
cap body 104 is molded to an exterior circumferential rim 1264 of
the bladder 1140. Alternatively, the circumferential rims 424, 1264
may be secured by other means such as ultrasonic welding, adhesive,
and like joining methods. The exterior rim 1264 on the bladder 1140
comprises a depending rib 1266 adapted to be received in the
annular recess 410 between the inner and outer circumferential
walls 406, 408 of the distal rim 404. The engagement of the barbed
end 403 on the snap closure element 402 with the attachment tab 422
on the proximal rim 420 of the cover 412 further secures the
depending rib 1266 in the annular recess 410 in a fluid-tight
connection to enable a vacuum to be drawing in the cylindrical body
30 by the plunger element 50, which is not shown in FIGS. 71A-71C
and details of various embodiments the plunger element 50 may be
found in the foregoing.
[0214] To attach the cap-bladder assembly 100 to the cylindrical
body 30 in this embodiment, an attendant medical practitioner
typically removes the cap-bladder assembly 100 from its packaging
and places the cap-bladder assembly 100 in association with the end
flange 400 on the cylindrical body 30 so that the depending rib
1266 on the circumferential rim 1264 of the bladder 1140 is
received in the annular recess 410 between the inner and outer
circumferential walls 406, 408 of the distal rim 404 on the end
flange 400. Next, the user pivots the hinged cover 412 so that the
proximal rim 420 fits over the distal rim 404 on the end flange 400
and, in particular, over and around the outer circumferential wall
408 of the distal rim 404. As the hinged cover 412 is pivoted
toward the end flange 400, the proximal rim 420 engages the barbed
end 403 on the snap closure element 402 and displaces the snap
closure element 402 radially outward to enable the proximal rim 420
to seat around the outer circumferential wall 408 of the distal rim
404. The attachment tab 422 on the proximal rim 420 is generally
aligned with the barbed end 403 so that as the proximal rim 420
fits over the distal rim 404 on the end flange 400 the barbed end
403 snaps into engagement onto the attachment tab 422 and secures
the hinged cover 412 to the end flange 400 and provides a generally
or substantially fluid-tight seal between the depending rib 428 in
the annular recess 410.
[0215] Referring next to FIGS. 72A-72B, another embodiment of the
bladder syringe 20 is shown that incorporates the cylindrical body
30 into the interior of the housing 18 of the fluid injector 12 and
the cap-bladder assembly 100 is secured directly to the fluid
injector housing 18. In FIGS. 72A-72B, the cylindrical body 30 is
disposed in the interior of the fluid injector housing 18. A distal
end 430 of the fluid injector housing 18 supports a clamping
assembly 432 comprising a fixed arm 434 and a pivotal swing arm 436
each defining an arcuate recess 438 therein. The clamping assembly
432 may be automatically operable by the controller associated with
the fluid injector 12. As in the embodiment of the cap-bladder
assembly 100 discussed above in connection with FIGS. 71A-71C, the
cap body 104 in this embodiment is formed without the cylindrical
portion 114 described previously. In present embodiment, the
exterior circumferential rim 424 of the cap body 104 is molded or
otherwise attached to the exterior circumferential rim 1264 (not
shown in FIGS. 72A-72B) of the bladder 1140. Additionally, in the
present embodiment, the exterior circumferential rim 424 of the cap
body 104 is enlarged radially as compared to the embodiment shown
in FIGS. 71A-71C to fit within the mating arcuate recesses 438 in
the fixed arm and swing arm 434, 436 of the clamping assembly 432.
Details of the connection between the cap-bladder assembly 100 and
cylindrical body 30 are omitted in FIGS. 72A-72B but may be similar
to that described in the foregoing in connection with FIGS.
71A-71C. As illustrated, a user simply mates the cap-bladder
assembly 100 to the cylindrical body 30 disposed in the fluid
injector housing 18 while further placing the exterior
circumferential rim 424 on the cap body 104 into the arcuate recess
438 in the fixed arm 434 and then pivots the swing arm 436 so that
the arcuate recess 438 therein likewise engages the exterior
circumferential rim 424 on the cap body 104. A lock or other
securing connection (not shown) is provided between the fixed arm
434 and swing arm 436 to secure the circumferential rim 424 in the
mating arcuate recesses 438 in the fixed arm 434 and swing arm
436.
[0216] Referring to FIGS. 73A-73E, another bladder syringe 20 is
shown that incorporates another alternative method for securing the
cap-bladder assembly 100 to the cylindrical body 30. In this
embodiment, the distal end 32 of the cylindrical body 30 comprises
an enlarged end flange or rim 440 with inner and outer
circumferential walls 446, 448 that define an annular recess 450
therebetween. The inner circumferential wall 446 is slightly larger
in height and tapered as compared to the outer circumferential wall
448. Additionally, two (2) axially spaced radial flanges 452, 454
are provided on the cylindrical body 30 axially below the end
flange or rim 440. A pair of axial walls 456 extends between the
radial flanges 452, 454 which act as rotation stops as described
herein. The proximal end 34 of the cylindrical body 30 is formed
with a circumferential flange 38 positioned to engage the front end
of the housing 18 of the fluid injector 12 to properly seat the
cylindrical body 30 relative to the fluid injector 12 as in
previous embodiments, and a suitable connecting arrangement for
mounting the proximal end 34 of the cylindrical body 30 to a power
fluid injector may be found in U.S. Pat. No. 7,450,856 to Hitchins
et al., incorporated herein by reference. In FIGS. 73A-73E, a
flex-leg connecting assembly 480 is used to secure the cap-bladder
assembly 100 to the distal end 32 of the cylindrical body 30.
[0217] In the present embodiment, the cap-bladder assembly 100 is
modified to operate with the flex-leg connecting assembly 480. The
cap-bladder assembly 100 comprises a cap 102 wherein the cap body
104 and bladder 1140 are, desirably, co-injection molded together,
and the retainer ring 140 may again be eliminated in this
embodiment. Further, the cap body 104 is formed without the
cylindrical portion 114 described previously. The cap-bladder
assembly 100 is substantially similar to the embodiment shown in
FIG. 47C discussed previously. In that embodiment, the cap 102 has
a cap body 104 with a co-injection molded bladder 1140, with the
membrane portion 1146 having central well portion 1268. In the
embodiment of FIGS. 73D-73E, the central well portion 1268 is
surrounded by a thickened circumferentially region 1270. As shown
in FIGS. 73D-73E, the distal side 1150 of the membrane portion 1146
generally conforms to the internal shape of the interior cavity 106
of the cap body 104 and the opposing proximal side 1152, including
the central well portion 1268 and surrounding thickened region
1270, defines a profile or shape that matches the profile of the
plunger element 50 (see FIG. 47C), which is omitted in FIGS.
73D-73E. Additionally, in FIGS. 73D-73E, the bladder 1140 and the
cap body 104 have outer circumferential rims or flanges 1272, 1278,
respectively, that are joined together in the co-injection molding
process, but these outer circumferential rims or flanges 1272, 1278
lack the mutually engaging ribs 1274, 1280 and 1276, 1282 described
previously in connection with FIG. 47C. However, these features may
be provided if so desired. As an alternative, the outer
circumferential rims or flanges 1272, 1278 may be joined by other
joining methods such as ultrasonic welding, laser welding, adhesive
joining, and like joining techniques. Accordingly, as shown in
FIGS. 73D-73E, an exterior circumferential rim 1278 of the cap body
104 is joined to an exterior circumferential rim 1272 of the
bladder 1140 and a composite end flange or rim 1290 defined by this
molded joint is adapted to be received in the annular recess 450
defined between the inner and outer circumferential walls 446, 448
of the enlarged end flange or rim 440 on the distal end 32 of the
cylindrical body 30.
[0218] With continued reference to FIGS. 73A-73E, the flex-leg
connecting assembly 480 is comprised by a composite flex legs inner
sleeve 482 disposed within a rotating outer sleeve 500. The
composite flex legs inner sleeve 482 is a split-ring component
formed by two (2) opposing split-ring halves 484 which each have a
plurality of distally-extending contact flex legs 486. The interior
of each of the split-ring halves 484 has a pair of radially-inward
extending flanges 488, 490 adapted to be received and sandwiched
between the two (2) radially-outward extending flanges 452, 454 on
the cylindrical body 30. The exterior of each of the split-ring
halves 484 comprises a series of external threads 492. The opposing
free ends of the split-ring halves 484 may be adapted for
frictional interengagement, if desired, to secure the two (2)
split-ring halves 484 together, or a locking connection (not shown)
may be provided to secure the free ends. Desirably, the pair of
axial walls 456 that extends between the radial flanges 452, 454 on
the cylindrical body 30 engage a recess or groove (not shown) in
the interior of the opposing split-ring half 484 and this
engagement acts as rotation stops so as to prevent rotation of the
composite flex legs inner sleeve 482 once assembled by joining the
two (2) split-ring halves 484 together around the cylindrical body
30.
[0219] The outer sleeve 500 comprises a curved distal end or
portion 502 that defines an opening 504 sized to receive the
cap-bladder assembly 100 therethrough, and is adapted to fit over
the composite flex legs inner sleeve 482. The outer sleeve 500 has
a sidewall 506 extending from the distal end or portion 502 that is
of a sufficient axial length to entirely enclose the composite flex
legs inner sleeve 482. The interior side of the sidewall 506
comprises mating threads 508 to engage the exterior threads 492 on
the exterior of each of the split-ring halves 484. The outer sleeve
500 is connected to the composite flex legs inner sleeve 482 by
threaded engagement between the mating threads 492, 508. When the
outer sleeve 500 is rotated relative to the inner sleeve 482, the
outer sleeve 500 is either drawn axially downward along the inner
sleeve 482 or moves axially upward along the inner sleeve 482. In
an open position of the flex-leg connecting assembly 480, as shown
in FIG. 73D, the outer sleeve 500 is in a position relative to the
inner sleeve 482 to radially position the contact flex legs 486 at
a radial position that allows the cap-bladder assembly 100 to be
inserted through the distal opening 504 and be connected to the
cylindrical body 30. In this connection or engagement, the
composite end flange or rim 1290 defined by the exterior
circumferential rim 1278 of the cap body 104 and the exterior
circumferential rim 1272 of the bladder 1140 is received in the
annular recess 450 defined between the inner and outer
circumferential walls 446, 448 of the enlarged end flange or rim
440 on the distal end 32 of the cylindrical body 30. To secure this
engagement, the outer sleeve is rotated, for example clockwise,
relative to the inner sleeve 482 to arrive at the closed position,
shown in FIG. 73E, wherein the flex legs 486 are displaced radially
inward to engage the composite end flange or rim 1290 which secures
the cap-bladder assembly 100 in place. As shown in FIG. 73E, the
clockwise rotational movement of the outer sleeve 500 causes the
mating threads 492, 508 to draw the outer sleeve 500 axially
downward along the inner sleeve 482, and this motion causes the
internally curved distal end or portion 502 of the outer sleeve 500
to contact an externally curved distal end 510 on each of the flex
legs 486 and deflects the flex legs 486 radially inward to engage
the composite end flange or rim 1290 on the cap-bladder assembly
100. Reverse rotational movement of the outer sleeve 500 causes
reverse movement and releases the flex legs 486 from the locking
position shown in FIG. 73E as the outer sleeve 500 moves axially
upward along the inner sleeve 482. Once the flex legs 486 disengage
from the composite end flange or rim 1290 on the cap-bladder
assembly 100, the cap-bladder assembly 100 may be removed for
disposal. The flex legs 486 are resiliently flexible to move to the
position shown in FIG. 73D when not acted upon by the internally
curved distal end 502 of the outer ring 500. The flex-leg
connecting assembly 480 has numerous advantages. For example, the
loading of the cap-bladder assembly 100 is non-orientation specific
and does not require rotation during assembly so that the bladder
1140 is not subject to torque or twisting motion. Additionally, all
components of the flex-leg connecting assembly 480 may be
permanently connected to the cylindrical body 30 during
manufacturing and there will be no loose parts for the end user to
assemble.
[0220] Referring next to FIGS. 74A-74B, an adapter assembly 570 is
shown for connecting the plunger element 50, such as the embodiment
shown in FIG. 10A, to a conventional or known plunger 550 adapted
for connection to a piston element of a power fluid injector, such
as the piston element 16 of the fluid injector 12 discussed
previously. The depicted embodiment of the plunger 550 may be a
plunger manufactured by Imaxeon and provided in a 200 ml syringe
used in a power fluid injector sold under the trademark
Salient.RTM. and shown in International Publication No. WO
2009/036496, incorporated herein by reference. The plunger 550
comprises a conical distal end or portion 552, cylindrical proximal
end or portion 554, and an intervening annular recess or groove 556
between the portions 552, 554. The plunger element 50 in this
embodiment has a unitary body component with a conical distal
portion 52 and a cylindrical proximal portion 54, and a seal ring
88 is disposed in an annular recess or groove 558 defined in the
proximal portion 54. However, a two-piece plunger element 50 split
at annular recess or groove 558 may also be used in this
embodiment. In the embodiment of the plunger element 50 depicted in
FIG. 10A, the conical distal portion 52 and the cylindrical
proximal portion 54 are separate components that are joined
together. In the embodiment of the plunger element 50 shown in
FIGS. 74A-74B, the distal portion 52 defines an annular recess or
groove 560 proximal of the annular recess or groove 558 that
supports the seal ring 88.
[0221] The adapter assembly 570 is comprised of two (2) split-ring
elements or halves 572 which each have a pair of radially-inward
extending flanges 574, 576 adapted to be received, respectively, in
the annular recess or groove 560 in the proximal portion 54 of the
plunger element 50 and the annular recess or groove 556 in the
plunger 550, thereby connecting the plunger element 50 with the
plunger 550. The opposing free ends of the split-ring halves 572
may be adapted for frictional interengagement to secure the two (2)
split-ring halves 572 together, or a locking connection or
mechanism (not shown) may be provided to secure the free ends
together. As shown in FIG. 74B, the interior wall 36 of the
cylindrical body 30 radially supports the two (2) split-ring halves
572 in an assembled configuration. As this figure shows, the
adapter assembly 570 may be used to convert a conventional or known
plunger 550 for use as part of the bladder syringe 20. In the
bladder syringe 20 of FIG. 74B, the cap-bladder assembly 100 is
modified as is the distal end 32 of the cylindrical body 30. The
cap body 104 of the cap 102 comprises an enlarged circumferential
rim 580 that cooperates with a corresponding circumferential rim
582 on the distal end 32 of the cylindrical body 30. A plurality of
apertures 584 may be formed by the connection of the
circumferential rims 580, 582 that accept connecting mechanical
fasteners and like connecting elements (not shown) to secure these
components together. The bladder 1140 of the cap-bladder assembly
100 in this embodiment is generally similar to that discussed
previously in connection with FIGS. 12A-12B. The air-venting and
vacuum-generating features of the plunger element 50 are generally
similar to those shown and discussed in connection with FIG. 10A.
The connection of the cap body 104 onto the cylindrical body 30 in
this embodiment may be similar to that shown in FIGS. 73A-73E
discussed previously.
[0222] Referring now to FIGS. 75-81, as noted previously, it is
desirable to provide a sterile packaging arrangement for the
cap-bladder assembly 100 used in the bladder syringe 20. In FIG.
75, the cap-bladder assembly 100 may be prepackaged with two
removable shipping caps 588, 590 for covering, respectively, the
end connector 112 on the discharge conduit 110 of the cap body 104
and the second covering the opposing open end of the cap body 104.
The depicted and non-limiting embodiment of the bladder 1140 is
similar to the embodiment shown in FIGS. 24A-24B in which the
membrane portion 1146 is shaped like a flat trampoline with a
thinner section 1190 in the center and a thicker outer section 1192
tapering from the thinner center section 1190.
[0223] In FIG. 76, a packaging container 600 is shown with a
cup-shaped body 602 that fits over the cap-bladder assembly 100 and
comprises opposing internal stabilizers 604, 606 that engage,
respectively, the two removable shipping caps 588, 590. The open
end of the cup-shaped body 602 comprises a protective seal 608,
typically a sterilized seal, that is peeled away to remove the
cap-bladder assembly 100. The fluid path set 200 may also be sealed
in the packaging container 600.
[0224] In FIG. 77, a packaging container 610 is shown with a
multi-well body 612 for receiving several cap-bladder assemblies
100. The multi-well body 612 enables the packaging container 610 to
be nested or stacked with another packaging container 610 in an
opposed or mirror-image arrangement. The open end of the multi-well
body 612 comprises a protective seal 614, typically a sterilized
seal, that is peeled away to remove the cap-bladder assemblies
100.
[0225] In FIG. 78, a packaging container 620 is shown with a
single-well body 622 for receiving several cap-bladder assemblies
100 in end-to-end relationship, wherein the discharge conduits 110
on the respective cap-bladder assemblies 100 face one another. The
open end of the single-well body 622 comprises a protective seal
624, typically a sterilized seal, that is peeled away to remove the
cap-bladder assemblies 100. FIG. 79 illustrates a variation of the
packaging container 620, wherein the cap-bladder assemblies 100 are
in end-to-end relationship, but the open ends of the cap body 104,
optionally closed by shipping caps 590 discussed previously, in the
respective cap-bladder assemblies 100 face one another.
[0226] In FIG. 80, the cap-bladder assemblies 100 are placed on a
long bandolier protective strip 626 which serves to protect the
open ends of the cap body 104. As a cap-bladder assembly 100 is
required, it could just be pulled off the bandolier protective
strip 626 that may further be adapted to protect the sterility of
the interior of the cap body 104 for each cap-bladder assembly 100.
If desired, the shipping cap 590, discussed previously, enclosing
the open end of the cap body 104 in each cap-bladder assembly 100
may be affixed to the bandolier strip 626 and then remain with the
strip 626 while the remainder of the cap-bladder assembly 100 is
removed.
[0227] In FIGS. 81A-81B, a packaging container 630 is shown with a
cup-shaped body 632 that forms an upper portion of the packaging
container 630. The cup-shaped body 632 is further integrally formed
with the cap body 104 of the cap 102 of the cap-bladder assembly
100. The cap body 104 comprises a short radial flange or rim 634
that connects to the cylindrical portion 114 of the cap body 104.
The cylindrical portion 114 forms a lower part or portion of the
packaging container 630. Thus, the cap body 104 and the cylindrical
portion 114 thereof form part of the packaging container 630. The
open top end of the cup-shaped body 632 is sealed by a protective
seal 638, typically a sterilized seal, that is peeled away to
remove the cap-bladder assembly 100. Likewise, the open end of the
cap body 104 defined by the cylindrical portion 114 is sealed by a
protective seal 640, typically a sterilized seal, that is peeled
away to access the bladder 1140 in the cap body 104, which is not
shown in FIG. 81B for simplicity. Moreover, a score line 642 or
other method for detaching the cap body 104 from the cup-shaped
body 632 is provided between these components. A plurality of the
packaging containers 630 may be stored in end-to-end relationship
in a tubular shipping container which may have a suitable end or
side opening to permit individual containers 630 to be removed one
at a time.
[0228] While embodiments of a bladder syringe fluid delivery system
and methods of operation thereof were provided in the foregoing
description, those skilled in the art may make modifications and
alterations to these embodiments without departing from the scope
and spirit of the invention. Accordingly, the foregoing description
is intended to be illustrative rather than restrictive. The various
embodiments described hereinabove are defined by the appended
claims and all changes that fall within the meaning and the range
of equivalency of the claims are to be embraced within their
scope.
* * * * *